| NPI | 1124212261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XANYA SOFRA-WEISS President 808-222-2664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: HI Psychology 520) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2008-05-29 |