| NPI | 1285107698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY-ANN CATARAHA Operations Director 808-747-8344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2021-05-11 |