| NPI | 1699346874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW SANDS Mgr 808-867-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2024-06-14 |