| NPI | 1942624531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON TABBAL Owner 808-779-2660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2014-02-18 |