| NPI | 1013195288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMERA L MEZNARICH Biller 808-738-0501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI MD#4063) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: HI MD4063) |
| Enumeration Date | 2008-02-09 |
| Last Update Date | 2010-04-27 |