| NPI | 1942638689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND DAVIDSON Owner 808-388-4969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI 15998) |
| Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: HI 15998) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |