| NPI | 1770814592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHEYENNE AKANA Lcsw, Manager 808-941-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2010-01-18 |