| NPI | 1306361241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON RICHARD KEIFER President 808-888-5228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: HI GE-090-260-8896-01) |
| Enumeration Date | 2017-08-12 |
| Last Update Date | 2022-07-21 |