| NPI | 1376991471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLIN BEVERIDGE DENNEY Clinical Psychologist 808-294-3595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: HI PSY 697) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: HI PSY 697) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-12-20 |