| Dept. Of Health-hawaii-child And Adolescent Mental Health Division | |
|
54-010 Kukuna St Oahu Central-fgc-hauula Hauula HI 96717-9628 | |
| (808) 293-8993 | |
| Not Available |
| Full Name | Dept. Of Health-hawaii-child And Adolescent Mental Health Division |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 54-010 Kukuna St, Hauula, Hawaii |
| Authorized Official Name and Position | M. Stanton Michels (ADMINISTRATOR) |
| Authorized Official Contact | 8087339339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dept. Of Health-hawaii-child And Adolescent Mental Health Division 3627 Kilauea Ave Room 101-attn: Phao Honolulu HI 96816-2317 Ph: (808) 733-4198 | Dept. Of Health-hawaii-child And Adolescent Mental Health Division 54-010 Kukuna St Oahu Central-fgc-hauula Hauula HI 96717-9628 Ph: (808) 293-8993 |
| NPI Number | 1942577739 |
|---|---|
| Provider Enumeration Date | 11/21/2011 |
| Last Update Date | 11/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942577739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Koolauloa Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 54-010 Kukuna Road, Hauula, HI 96717 Phone: 808-233-3775 |