| NPI | 1548843725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONA VANCE Sr. Administrative Assistant 808-961-3747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2021-05-04 |