NPI | 1417122524 |
---|---|
Entity Type | Organization |
Authorized Contact | JD WAILUA BRANDMAN Owner 808-593-7703 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: HI APRN13) |
Enumeration Date | 2008-04-29 |
Last Update Date | 2011-07-23 |