| NPI | 1962453522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EASTMAN HASTINGS Director 808-433-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QV0200X Clinic/Center, VA (Licence: HI 8680) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-08-22 |