| NPI | 1902615586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMAL WASAN CEO 808-895-0444 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2025-01-07 |
| Last Update Date | 2025-01-07 |