NPI | 1053703066 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD J TAAFFE CEO 808-326-3883 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2015-02-27 |
Last Update Date | 2023-09-13 |