| NPI | 1689742975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY WILLIAM BROKER Director 808-545-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: HI MD9822) |
| Enumeration Date | 2006-12-03 |
| Last Update Date | 2020-08-22 |