| NPI | 1427295195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAY AKAMINE Executive Director 808-954-7107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2021-11-23 |