| NPI | 1659685493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNDI DESHA Business Office Manager 808-935-5423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2010-08-04 |