| NPI | 1710740980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE JOHNSON CEO 808-425-0195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-01-31 |