| NPI | 1316788037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RANDOLPH REEVES Health Administrator 808-214-7269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical | |
| 124Q00000X Dental Hygienist | |
| 125J00000X Dental Therapist | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 251S00000X Community/Behavioral Health | |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-06-05 |