| NPI | 1649464355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS STENNIS BEARDEN President 808-935-2605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: HI PSY 888) |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: HI PSY 888) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2011-12-12 |