| NPI | 1194964353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J LANE Chief Psychologist 808-280-9457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-11 |