| NPI | 1730345190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA BECKHAM Chief Executive Officer 808-791-9302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2013-03-12 |