| NPI | 1194183020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HY GIA PARK Managing Partner 808-286-1607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology Addiction Psychiatry |
| Enumeration Date | 2016-02-06 |
| Last Update Date | 2024-01-31 |