NPI | 1164662904 |
---|---|
Other Name | CAMHD - HERITAGE YOUTH SVC/ BIRDSEYE RTC |
Entity Type | Organization |
Authorized Contact | STANTON M MICHELS Camhd Administrator 808-733-9339 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2009-03-05 |
Last Update Date | 2011-09-30 |