| NPI | 1548692940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT M GUPTON Owner 808-484-1190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: HI W40186597-01) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-07 |