| NPI | 1699471599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARQUITA ANN GRANDA Pmhnp Bc, Owner 808-722-7710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2023-02-01 |