| NPI | 1366005951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA MATEO Administrative Secretary 808-691-4600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-04-18 |