NPI | 1093469553 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNY EBESUTANI Psychologist, Owner 808-304-1565 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-02-03 |
Last Update Date | 2022-02-03 |