| NPI | 1164801221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FABIENNE BISARO Owner 808-936-9298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: HI 427) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-09-01 |