| NPI | 1689405508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL MARIE BETTENHAUSEN-BUBULKA Owner/Founder 808-319-7896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |