| Executive And Professional Services Llc | |
|
4432 Papalina Rd Kalaheo HI 96741 | |
| (808) 652-2684 | |
| Not Available |
| Full Name | Executive And Professional Services Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4432 Papalina Rd, Kalaheo, Hawaii |
| Authorized Official Name and Position | Valerie Melle (MANAGER) |
| Authorized Official Contact | 8086522684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Executive And Professional Services Llc Po Box 488 Kalaheo HI 96741-0488 Ph: (808) 652-2684 | Executive And Professional Services Llc 4432 Papalina Rd Kalaheo HI 96741 Ph: (808) 652-2684 |
| NPI Number | 1972229607 |
|---|---|
| Provider Enumeration Date | 10/14/2022 |
| Last Update Date | 10/14/2022 |
| Certification Date | 10/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972229607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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