| NPI | 1710354584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMONA T ESTRADA Owner 808-896-6984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: HI 408) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |