| NPI | 1952618357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A. HIBSCHER Owner/Clinical Director 808-323-2607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: HI 102-STF) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: HI 102-STF) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2015-08-24 |