| NPI | 1548520091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILANA ALANEO FERNANDEZ Owner 808-783-4404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: HI Psy - 959) |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2014-03-07 |