# INJURY CARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780067132
- **Authorized official:** DR. TODD A BLACK DC (MEMBER)
- **Authorized official phone:** (808) 524-8588

## Contact information

- **Practice address:** 31 S BERETANIA ST, HONOLULU, HI 96813-2220
- **Practice address phone:** (808) 524-8588
- **Mailing address:** 31 S BERETANIA ST, HONOLULU, HI 96813-2220
- **Mailing address phone:** (808) 524-8588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | — | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 07/02/2015
- **Last updated:** 07/02/2015