| 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 |