| Faith Harriet Foundation | |
|
87-940 Kulauku St Waianae HI 96792-3353 | |
| (808) 275-7330 | |
| (808) 668-1280 |
| Full Name | Faith Harriet Foundation |
|---|---|
| Speciality | Psychologist |
| Location | 87-940 Kulauku St, Waianae, Hawaii |
| Authorized Official Name and Position | David Mellem (BOARD TREASURER) |
| Authorized Official Contact | 8082757330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith Harriet Foundation 87-940 Kulauku St Waianae HI 96792-3353 Ph: (808) 275-7330 | Faith Harriet Foundation 87-940 Kulauku St Waianae HI 96792-3353 Ph: (808) 275-7330 |
| NPI Number | 1588817316 |
|---|---|
| Provider Enumeration Date | 10/24/2008 |
| Last Update Date | 10/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588817316 | NPI | - | NPPES |
| 0000288522 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 347C00000X | Private Vehicle | (* (Not Available)) | Secondary |
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