| NPI | 1720335755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAIAH M MORENO Manager 808-233-9775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI 307) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-09 |