| NPI | 1285462234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANNING SLATE LLC Manager / Medical Director 808-229-3434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2025-07-05 |