| 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 |