| NPI | 1982567160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON WILLIAM HORNE Clinical Supervisor Ii 808-295-8982 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-12-04 |
| Last Update Date | 2025-12-04 |