| NPI | 1003408683 |
|---|---|
| Doing Business As | JAMES AND ABIGAIL CAMPBELL FAMILY MEDICINE AND BEHAVIORAL HEALTH CLINI |
| Entity Type | Organization |
| Authorized Contact | JAMES Z. CHEN Chief Financial Officer 808-697-3300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2021-02-05 |