| Brooke Maloney, Llc | |
|
94-509 Hokuala St Mililani HI 96789-2313 | |
| (808) 979-1783 | |
| Not Available |
| Full Name | Brooke Maloney, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 94-509 Hokuala St, Mililani, Hawaii |
| Authorized Official Name and Position | Meri Brooke Maloney (OWNER) |
| Authorized Official Contact | 8089791783 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brooke Maloney, Llc 94-509 Hokuala St Mililani HI 96789-2313 Ph: (808) 979-1783 | Brooke Maloney, Llc 94-509 Hokuala St Mililani HI 96789-2313 Ph: (808) 979-1783 |
| NPI Number | 1760154611 |
|---|---|
| Provider Enumeration Date | 09/29/2021 |
| Last Update Date | 09/29/2021 |
| Certification Date | 09/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760154611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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