| NPI | 1740566579 |
|---|---|
| Other Name | CAMHD - YOUN GILMORE MAINLAND |
| Entity Type | Organization |
| Authorized Contact | STANTON MICHELS Camhd Administrator 808-733-9339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-10-25 |