| NPI | 1457896193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER DIONNE FAUSTIN Manager/Mental Health Counselor 808-206-0806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: HI MHC-420) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |