| NPI | 1497930655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E. JACKSON President 808-294-3493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY809) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI DOS1489) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2015-10-08 |