| NPI | 1164841680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG PAYTON Ed 808-463-8907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2014-04-11 |
| Last Update Date | 2014-04-11 |