| NPI | 1245743160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW BURRILL Owner 808-442-2469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: HI MHC437) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |