| NPI | 1851084057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN WENTZEL Chief Financial Officer 808-753-3965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2024-05-22 |