| NPI | 1760120315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS MCGILL President 808-743-7473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2022-05-24 |