NPI | 1184435802 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTWANE BOHANON Chief Executive Officer 808-453-0018 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2025-01-14 |
Last Update Date | 2025-01-14 |