NPI | 1376079459 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLYNNE MENOR Caregiver 808-343-3606 |
Organization Subpart ? | No |
Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
Enumeration Date | 2017-05-10 |
Last Update Date | 2017-05-10 |