| NPI | 1396017497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND DAVIDSON Owner 808-386-6851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: HI MD-15998) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: HI MD159987) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2018-03-17 |