NPI | 1497414106 |
---|---|
Entity Type | Organization |
Authorized Contact | NATALIE RAMOS Credentialing 808-431-3210 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
Enumeration Date | 2021-12-09 |
Last Update Date | 2021-12-14 |