| NPI | 1104192970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANE GANES Qa And Hr Director 808-380-9964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |