| NPI | 1750130928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN M WAVRIN Marriage And Family Therapist Owner 808-896-3788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2024-05-17 |