| NPI | 1841013083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON ROTH Member/Owner 808-765-5724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2024-11-09 |