| NPI | 1922357375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILI KELLY Owner 808-664-1104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI MD 13434) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |