| NPI | 1134475528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH HAWS Bcba Supervisor 808-284-7225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ LMSW-13649) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2012-08-03 |