| NPI | 1417604422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUMBIRAI MADIYE President 808-221-1039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2022-04-25 |