| NPI | 1922405026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL THOMAS Operations Director 808-575-2954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: HI 1-07-3851) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2022-05-20 |