| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 37 Kekaulike St, Hilo, Hawaii |
| Authorized Official Name and Position | Raquel B. Nakahara (FINANCIAL RESOURCE SPECIALIST) |
| Authorized Official Contact | 8085907320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1250 Punchbowl St Rm 256 Honolulu HI 96813-2416 Ph: (808) 590-7320 | 37 Kekaulike St Hilo HI 96720-2462 Ph: (808) 933-0409 |
| NPI Number | 1396928933 |
|---|---|
| Provider Enumeration Date | 12/05/2007 |
| Last Update Date | 06/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396928933 | NPI | - | NPPES |
| 53937215 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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