| NPI | 1316250053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE DORRE Psychologist 808-634-0569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: HI 1170) |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2010-07-23 |