| NPI | 1427510858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HAROLD RATH Sole Proprietor 808-372-1787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-04-04 |