| NPI | 1023864733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVERLYN BAQUIRING KANG Executive Director/Founder 808-723-2738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251S00000X | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-04-30 |