| NPI | 1962642652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ANTHONY SPILLMAN Owner 808-385-2016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: HI LMHC 185) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-02-20 |