| Organization Name: | KJ ACU & HERBS CORP. |
| NPI Number: | 1205245933 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY LEE (M.S. IN HEALTH SCIENCE/OM) |
| Mailing Address: | 6432 224th St Oakland Gardens |
| State: | NY US |
| Postal Code: | 113642318 |
| Phone Number: | 6466708155 |
| Fax Number: | |
| NPI Enumeration Date: | 08/06/2014 |
| NPI Last Update Date: | 08/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 25MZ00080100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |