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86-226 Farrington Hwy Waianae HI 96792-3128 | |
| (808) 696-4211 | |
| (808) 696-5516 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 86-226 Farrington Hwy, Waianae, Hawaii |
| Authorized Official Name and Position | Pohaokalani Sonoda-burgess (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8086964211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
86-226 Farrington Hwy Waianae HI 96792-3128 Ph: (808) 696-4211 | 86-226 Farrington Hwy Waianae HI 96792-3128 Ph: (808) 696-4211 |
| NPI Number | 1124299136 |
|---|---|
| Provider Enumeration Date | 03/18/2008 |
| Last Update Date | 09/19/2024 |
| Certification Date | 09/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124299136 | NPI | - | NPPES |
| 050319501 | Medicaid | HI | |
| 503195 | Medicaid | HI |
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