| NPI | 1093880627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES Z CHEN CFO 808-696-7081 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QF0050X Clinic/Center Family Planning, Non-Surgical | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2021-03-12 |