| NPI | 1598501298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY ALAN FREITAS Program Health Branch Manager 808-478-6207 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| 251B00000X Case Management | |
| 261QC1500X Clinic/Center Community Health | |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2024-07-02 |