| NPI | 1952148421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON SOTERA SANCHEZ Psychiatric Technician 808-866-0614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-07-11 |