NPI | 1497951271 |
---|---|
Entity Type | Organization |
Authorized Contact | DARLENE K WADE Clinical Social Worker 808-545-7706 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY161) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI LCSW3168) |
Enumeration Date | 2007-06-26 |
Last Update Date | 2020-08-22 |