HEAVENLY STAR LLC
Organization (NPI-2)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1306201629- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 99-124 KOHOMUA ST 15C, AIEA, HI, 967013876
- Phone
- (808) 781-7984
Specialties & Taxonomies
Social Worker, Clinical
Primary License: HI #4054