| NPI | 1023796109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRO LUIS BENACH CEO 808-376-9479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| 252Y00000X Early Intervention Provider Agency | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2024-06-27 |