| NPI | 1043975568 |
|---|---|
| Other Name | MOBILE MEDICAL UNIT 1 |
| Entity Type | Organization |
| Authorized Contact | JAMES T MARUYAMA Compliance Officer 808-537-8418 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2021-12-22 |