| Dept. Of Health-hawaii-child And Adolescent Mental Health Division | |
|
555 Fraser Ave Maui-fgc-lanai Lanai City HI 96763 | |
| (808) 565-7915 | |
| Not Available |
| Full Name | Dept. Of Health-hawaii-child And Adolescent Mental Health Division |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 555 Fraser Ave, Lanai City, 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 555 Fraser Ave Maui-fgc-lanai Lanai City HI 96763 Ph: (808) 565-7915 |
| NPI Number | 1255609202 |
|---|---|
| Provider Enumeration Date | 12/06/2011 |
| Last Update Date | 12/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255609202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Maui Community Mental Health Center - Lanai Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 730 Lanai Ave, Suite 6, Lanai City, HI 96763 Phone: 808-984-2150 Fax: 808-984-2155 |