| NPI | 1790391837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY KRACHER Nurse Practioner 808-664-1104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |