| NPI | 1982472338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA HULALI EAGLIN Owner 808-557-6261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2023-12-14 |