| NPI | 1730056292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EZRA MICAH GAY-YA Hr Manager 808-537-8417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2025-10-20 |