| NPI | 1245772334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIA WANG Owner 808-258-9362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: HI psy-1281) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |