| NPI | 1164627246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENUS VENUS ROSETE-MEDEIROS CEO 808-589-1829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: HI W2005550002) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2023-05-11 |