| NPI | 1952860611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH ANANDA-STOUT Managing Member 808-936-7795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2020-07-06 |