NPI | 1972129948 |
---|---|
Entity Type | Organization |
Authorized Contact | HENRY HTEWLAY KHIN Owner 909-579-2555 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
104100000X Social Worker | |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
Enumeration Date | 2020-06-24 |
Last Update Date | 2023-02-17 |