| NPI | 1386215432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA WOOD Owner/Manager 808-798-9979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2021-07-08 |