NPI | 1609382340 |
---|---|
Entity Type | Organization |
Authorized Contact | BRADLEY JOHN KUO President 808-379-6656 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI 1741) |
Enumeration Date | 2017-12-18 |
Last Update Date | 2022-10-25 |