| NPI | 1992257851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUULEI MIYE MIURA FAHLING Nurse Practitioner 808-922-4787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: HI 1964) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |