| NPI | 1568721942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH GONZALEZ Case Manager 808-651-6261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: HI RN-41952) |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2012-05-07 |