| NPI | 1518528637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEY MICHELLE GALLANT Licensed Ind Clinical Social Worker 808-781-8606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2023-10-06 |