| NPI | 1386325355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ASA LOCKLEAR CEO 808-699-8235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-08-15 |