| NPI | 1760170385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS IGARTA President 808-699-8369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |