| NPI | 1659444131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY A MONTELL Administrator 808-935-1956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: HI FSOF-9) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |