| NPI | 1932983947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLY GRACE BUNGHANOY-DIAMA Owner 808-782-7072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |