| NPI | 1699537100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE-ANNE HOLMAN Manager 808-223-5054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |