| NPI | 1962156620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME VALLETE Owner 808-225-4377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2023-06-28 |