| NPI | 1396464707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANELLE PURDY Executive Director 808-429-9766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2022-08-26 |