| NPI | 1114695962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHAEL GORDON Medical Director/Founder 808-298-9102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2021-09-04 |
| Last Update Date | 2021-09-04 |