Keiki Club House Inc. | |
4504 Kukui St Kapaa HI 96746-1701 | |
(808) 298-6555 | |
Not Available |
Full Name | Keiki Club House Inc. |
---|---|
Speciality | Counselor - Mental Health |
Location | 4504 Kukui St, Kapaa, Hawaii |
Authorized Official Name and Position | Catherine Long (ADMINISTRATOR-THERAPIST) |
Authorized Official Contact | 8082986555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Keiki Club House Inc. Po Box 510232 Kealia HI 96751-0232 Ph: (808) 298-6555 | Keiki Club House Inc. 4504 Kukui St Kapaa HI 96746-1701 Ph: (808) 298-6555 |
NPI Number | 1760141816 |
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Provider Enumeration Date | 12/15/2021 |
Last Update Date | 12/15/2021 |
Certification Date | 12/15/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760141816 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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