| NPI | 1942073127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL KIM Clinical Director/Psychotherapist 571-520-2013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2026-03-12 |