| NPI | 1821733106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE SMALL JOHNSON Owner 808-561-4258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 251300000X Local Education Agency (LEA) | |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2022-05-02 |