| NPI | 1841506565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETHAN PIEN Owner 808-386-1866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: HI 14017) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2010-08-19 |