| NPI | 1629698360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY RENEA Owner 808-214-9433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0812X Clinical Nurse Specialist, Psych/Mental Health, Community |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-22 |