| Doctor Name: | MR. HANK W KIM |
| NPI Number: | 1609054741 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCADC |
| License Number: | 37LC00122900 |
| Business Practice Address: | 280 Broad Ave Palisades Park, NJ - 076501574 |
| Business Phone Number: | 2013944055 |
| Business Fax Number: | 9733570519 |
| Mailing Address: | 19 Arcadia Ct, HARRINGTON PARK |
| State: | NJ |
| Postal Code: | 076401601 |
| Phone Number: | 2013944055 |
| Fax Number: | 9733570519 |
| NPI Enumeration Date: | 01/31/2008 |
| NPI Last Update Date: | 01/31/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 37LC00122900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |