NPI | 1265068233 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANE E LOGAN Owner 808-437-7447 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2020-03-20 |
Last Update Date | 2021-10-06 |