| NPI | 1811591654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIJIT REIS Owner 808-262-8822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2020-11-23 |