| NPI | 1346476942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN BLOTZKE Program Director 808-454-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2017-04-27 |