| Doctor Name: | CHARLES GARCIA |
| NPI Number: | 1003219684 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 875 Waimanu St Ste 624 Honolulu, HI - 968135265 |
| Business Phone Number: | 8087916713 |
| Business Fax Number: | |
| Mailing Address: | 875 Waimanu St Ste 624, HONOLULU |
| State: | HI |
| Postal Code: | 968135265 |
| Phone Number: | 8087916713 |
| Fax Number: | |
| NPI Enumeration Date: | 09/26/2014 |
| NPI Last Update Date: | 09/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |