| NPI | 1306904461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFRIE WAGNER Executive Director 808-293-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: HI 53-STF) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |