| NPI | 1033436431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE REQUE Billing Manager 808-531-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: HI 346-83) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |