| NPI | 1710270772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI SOUSA Receptionist 808-689-7964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: HI 1529) |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2011-05-24 |