| NPI | 1295138311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK HOVLAND Director 808-596-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 11541) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2014-10-02 |