| NPI | 1760612329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MIKAMI Agent 808-351-1012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: HI 13933) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI 13933) |
| 208000000X Pediatrics (Licence: HI 13933) | |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2009-07-28 |