| NPI | 1962788059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI CASTEL Officer/Authorized Official 808-772-7818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2022-05-03 |