| NPI | 1942600770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA SAU YU FUNG Owner 808-232-4768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: HI LCSW-3958) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: HI CSAC 1809-14) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-09-22 |