| NPI | 1518157379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY SEGUNDO Fiscal Controller 808-242-5781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: HI IMR-36) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: HI IMR-37) |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: HI IMR-38) | |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2016-03-09 |