| NPI | 1861089906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL HATA VP 808-286-2060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health |
| Additional Taxonomies | 104100000X Social Worker |
| 251B00000X Case Management | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2025-08-05 |