| Behavioral Health Services Of Maui, Llc | |
|
1787 Wili Pa Loop Ste 7 Wailuku HI 96793-1271 | |
| (808) 249-2213 | |
| Not Available |
| Full Name | Behavioral Health Services Of Maui, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1787 Wili Pa Loop Ste 7, Wailuku, Hawaii |
| Authorized Official Name and Position | David Wittenberg (MEMBER) |
| Authorized Official Contact | 8082816284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Services Of Maui, Llc Po Box 1406 Wailuku HI 96793-6406 Ph: () - | Behavioral Health Services Of Maui, Llc 1787 Wili Pa Loop Ste 7 Wailuku HI 96793-1271 Ph: (808) 249-2213 |
| NPI Number | 1316569296 |
|---|---|
| Provider Enumeration Date | 05/13/2020 |
| Last Update Date | 05/13/2020 |
| Certification Date | 05/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316569296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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