| NPI | 1134086796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INDIZO MOON Founder / Managing Partner 808-345-7393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-01-06 |
| Last Update Date | 2026-01-06 |