| NPI | 1518431618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA KAAUA Member 808-224-9553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-01-11 |