| NPI | 1730877812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY JARAE WILSON-LANDRUM Licensed Clinical Psychologist 808-358-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2023-04-27 |