| NPI | 1518225531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE WILSON Social Worker 808-457-9897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2012-04-27 |