| NPI | 1013414770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E JACKSON President 808-294-3493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY809) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2019-03-13 |