| NPI | 1316569296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WITTENBERG Member 808-281-6284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |