| NPI | 1073794798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROB L WETZEL President 808-949-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: HI PSY174) |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2007-11-26 |