| NPI | 1942680988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCINDA E FAISON-OLSEN Lmft 808-854-1884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: HI 324) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |