| NPI | 1376311415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J WITTENBERG Member Manager 808-281-6284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 261QM0801X | |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |