| NPI | 1225212426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON WILLIAM HORNE Clinical Supervisor Ii 808-295-8982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: CA 270003AN) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2025-12-11 |