| NPI | 1467799296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARA LARSON Psychologist 808-383-8713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: HI PSY 1372) |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2013-01-14 |