| Dept. Of Health-hawaii-child And Adolescent Mental Health Division | |
|
860 Fourth St 2nd Floor-oahu Central Fgc Pearl City HI 96782-3312 | |
| (808) 453-5900 | |
| (808) 453-5940 |
| Full Name | Dept. Of Health-hawaii-child And Adolescent Mental Health Division |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 860 Fourth St, Pearl 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 860 Fourth St 2nd Floor-oahu Central Fgc Pearl City HI 96782-3312 Ph: (808) 453-5900 |
| NPI Number | 1255600656 |
|---|---|
| Provider Enumeration Date | 12/14/2011 |
| Last Update Date | 12/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255600656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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