| NPI | 1164270336 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | MEGAN M LEWIS Owner/Operator 808-345-7880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2024-05-10 |