| NPI | 1215299979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L DE COSTA Program Manager 808-885-0086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2012-06-08 |