NPI | 1881108652 |
---|---|
Entity Type | Organization |
Authorized Contact | IRISA DEVINE Medical Director 808-979-6700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
2080P0008X Pediatrics, Neurodevelopmental Disabilities | |
225XP0200X Occupational Therapist, Pediatrics | |
235Z00000X Speech-Language Pathologist, | |
103K00000X Behavior Analyst | |
Enumeration Date | 2017-11-30 |
Last Update Date | 2018-03-17 |