| NPI | 1184389587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SIMONSEN Co Owner 808-492-1621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2022-11-10 |