| NPI | 1730388216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH S.I. GLENN Managing Manager 808-262-2099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: HI DC 907) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2021-03-03 |