| NPI | 1821242116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE LEE COUTSOURAKIS Clinical Social Worker/ Manager 808-295-8568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI LCSW 3384) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2008-11-13 |