| NPI | 1699510958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL MARIE BETTENHAUSEN-BUBULKA Founder/CEO 808-319-7896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2024-08-15 |