| NPI | 1215458344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDON MICHAEL FRIEDMAN Owner 808-214-7236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: HI 2202) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-06-28 |