| NPI | 1356066344 |
|---|---|
| Other Name | SANDAL GAP COMPREHENSIVE SERVICES |
| Entity Type | Organization |
| Authorized Contact | NICOLE JOHNSON CEO 808-425-0195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 106S00000X Behavior Technician | |
| 251S00000X | |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2023-03-15 |