| NPI | 1003279902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TUI L. ULU Provider 808-282-7201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI 3865) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: HI 1168-03) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |