| Crisis Mobile Outreach-camhd | |
|
200 Ike Dr Makawao HI 96768-9718 | |
| (808) 579-8414 | |
| (808) 579-8426 |
| Full Name | Crisis Mobile Outreach-camhd |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 200 Ike Dr, Makawao, Hawaii |
| Authorized Official Name and Position | Dikki Pruse (PROGRAM COORDINATOR) |
| Authorized Official Contact | 8082492121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crisis Mobile Outreach-camhd 200 Ike Dr Makawao HI 96768-9718 Ph: (808) 579-8414 | Crisis Mobile Outreach-camhd 200 Ike Dr Makawao HI 96768-9718 Ph: (808) 579-8414 |
| NPI Number | 1457642076 |
|---|---|
| Provider Enumeration Date | 04/29/2011 |
| Last Update Date | 09/25/2024 |
| Certification Date | 09/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457642076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | 28STF (Hawaii) | Primary |
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