NPI | 1205189974 |
---|---|
Entity Type | Organization |
Authorized Contact | GRAHAM M TAYLOR Owner 808-545-5711 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: HI PSY-586) |
Enumeration Date | 2012-10-18 |
Last Update Date | 2012-10-18 |