| NPI | 1992568133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD BROUWERS President 808-220-6689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-01-31 |