NPI | 1386395093 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH IKAIKA ADAMS Billing Director 808-295-5498 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2022-01-13 |
Last Update Date | 2022-11-18 |