| NPI | 1053406538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON J TROCKMAN Owner 808-523-9363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI MD2980) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |