| NPI | 1396173894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT P DUPREY CEO/Provider 888-321-7760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: HI W57111661-01) |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2013-10-17 |