| NPI | 1396456794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE PAGAT Owner 808-753-2564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2022-12-07 |