| NPI | 1033757356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BENNETT Divsional Secretary For Business 808-440-1828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |