| NPI | 1053666842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON RICHARD KEIFER Owner 808-542-7349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: HI MD12987) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |