| NPI | 1265120182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANELLE PURDY Therapist 808-429-9766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2023-04-27 |