| NPI | 1205112216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELINE A ADAIR Clinical Director 808-214-2858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: NC 1384) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2011-10-24 |