| NPI | 1265945687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA DENNERLEIN Owner 808-989-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: HI 3695) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2018-06-16 |