| NPI | 1457729667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER QUINN-HASTINGS Lcsw 808-255-4101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: HI 3737) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MN 18759) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-09-03 |