| NPI | 1528592797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANEEN MAHEALANI AGOSTO Owner 808-222-8515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: HI MHC 390) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-04-14 |