| NPI | 1154187334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYMAY HARDY Owner 808-796-6322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-07-06 |