| NPI | 1245698885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN RONALD TAKETA Owner/Operator 808-782-3551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: HI PSY - 1333) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |