| NPI | 1396635710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENAE D MATHSON Director Of Business Development 808-430-0388 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-07-07 |