| NPI | 1740929108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIZIA LUGARO Office Manager 808-797-4970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2022-06-02 |