| NPI | 1366197352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA NAOMI BARTHOLOMEW Owner/Member 808-212-9687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2022-02-17 |