| NPI | 1053955120 |
|---|---|
| Doing Business As | ADMINISTRATION |
| Entity Type | Organization |
| Authorized Contact | RICHARD TAAFFE CEO 808-326-3878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2022-07-19 |