| NPI | 1417466566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL D PAGLINAWAN Owner 808-263-1923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: HI 415) |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2022-07-21 |