| NPI | 1497293872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYN G CORDERO Owner 808-343-2829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: HI 496) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2025-03-14 |