| NPI | 1437517158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERENA TREHERN Social Worker 808-219-0479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: HI 4078) |
| Additional Taxonomies | 251S00000X (Licence: NV 5785-C) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |