| NPI | 1205899879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA BARRETT Ubo Manager 808-474-4242 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2025-06-13 |