| NPI | 1952920555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINNE MAUL DE SOTO Executive Director 808-638-3343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2020-04-13 |