| NPI | 1447128426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENAE D MATHSON Director Of Business Development 808-430-0388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 104100000X Social Worker |
| 207QA0401X Family Medicine, Addiction Medicine | |
| Enumeration Date | 2025-10-29 |
| Last Update Date | 2025-10-29 |