| NPI | 1750741732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL ALEXIS VALDEZ Paraprofessional 808-212-1296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |