| NPI | 1023648995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS PURDY CFO 808-953-4682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 171100000X Acupuncturist | |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2020-01-20 |