| NPI | 1356959050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CEDRIC STRONG Vice President/CFO 808-400-1707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |