| NPI | 1588817316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MELLEM Board Treasurer 808-275-7330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2009-10-11 |