| NPI | 1851540132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON M NAGAMINE Mental Health Provider 808-479-4327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: HI H00560254) |
| Additional Taxonomies | 251B00000X Case Management (Licence: HI H00560254) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-09-11 |