| NPI | 1427455997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY NICOLAS Partner 808-778-6797 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: HI MHC-340, MHC-348) |
| Enumeration Date | 2014-11-29 |
| Last Update Date | 2014-11-29 |