| NPI | 1285748194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE K TSAI-BURCH C.F.O./Clinical Director 808-783-8296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 96-R-27) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: HI 1234-05) |
| 101YM0800X Counselor, Mental Health (Licence: HI MSCP) | |
| 207Q00000X Family Medicine (Licence: HI 9280) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI 6515) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |