| NPI | 1962867556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINHUI XIE President 732-306-8377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 276716) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 235115) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2015-12-25 |