| NPI | 1861238362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE FIELDS Provider/Owner 808-465-8740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2025-10-14 |