| NPI | 1922408020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISTYN HAXTON President 808-847-5777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: HI 10694948) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: HI 10694948) |
| 101YM0800X Counselor, Mental Health (Licence: HI 10694948) | |
| 101YP1600X Counselor, Pastoral (Licence: HI 10694948) | |
| 101YP2500X Counselor, Professional (Licence: HI 10694948) | |
| 103K00000X Behavior Analyst (Licence: HI 10694948) | |
| 251S00000X (Licence: HI 10694948) | |
| 252Y00000X Early Intervention Provider Agency (Licence: HI 10694948) | |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2014-10-02 |