| NPI | 1710642376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J TAAFFE CEO 808-326-3884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2023-09-13 |