NPI | 1336894278 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA LEE ROSS President/Clinician 808-491-5533 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2022-02-18 |
Last Update Date | 2022-02-18 |