| NPI | 1598049140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI HOLTER Treasurer 808-205-8055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: HI LCSW3180) |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2011-09-30 |