NPI | 1962659540 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFF WAGNER Director 808-293-7555 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: HI 320800000X) |
Enumeration Date | 2008-08-26 |
Last Update Date | 2008-08-26 |