| NPI | 1285933960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA N GREEN Clinical Psychologist 808-351-0447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: HI PSY-1126) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2011-03-21 |