| NPI | 1033366216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN MARIE MINES Therapist 808-293-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |