| NPI | 1891517850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAIAH MATTHEW MORENO Clinical Director 808-233-9775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2024-10-30 |