| NPI | 1558607846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAYTON MCMILLEN COO 808-341-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children (Licence: CA 300253AP) |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2018-12-10 |