| NPI | 1255652236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILARY LEE HABERSHAW Otr 808-347-1969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: HI OT-764) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2010-06-14 |