| NPI | 1003268012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALLACE R SHRINSKI Owner 808-987-7306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: HI 230) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2016-07-01 |