| NPI | 1932583978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DEPRY CEO 808-783-2468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2015-07-18 |