| NPI | 1043599350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA H FOUTS Director 808-295-2453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: HI 1-09-5745) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2011-08-04 |