| NPI | 1386963189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALONA W TANNER Sole Proprietor 808-282-1081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: HI PSY-1020) |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2011-01-12 |