| NPI | 1396908604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN ROSS LOOS President 808-734-2897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: HI Psy-792) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2008-09-16 |