| NPI | 1467176313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN SANDERS ALFORD Managing Member 808-888-5683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2022-10-10 |