| Effective Change Llc | |
|
56 Waianuenue Ave Hilo HI 96720-2474 | |
| (808) 934-7566 | |
| (808) 934-9442 |
| Full Name | Effective Change Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 56 Waianuenue Ave, Hilo, Hawaii |
| Authorized Official Name and Position | Matthew Douglas Brittain (OWNER) |
| Authorized Official Contact | 8089347566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Effective Change Llc Po Box 1038 Kurtistown HI 96760-1038 Ph: (808) 934-7566 | Effective Change Llc 56 Waianuenue Ave Hilo HI 96720-2474 Ph: (808) 934-7566 |
| NPI Number | 1831490887 |
|---|---|
| Provider Enumeration Date | 11/08/2010 |
| Last Update Date | 11/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831490887 | NPI | - | NPPES |
| 24819201 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | W4094131601 (Hawaii) | Primary |
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