| Magellan Therapeutic Services, Llc | |
|
94-1388 Moaniani St Ste 214 Waipahu HI 96797-6604 | |
| (808) 223-2331 | |
| (808) 356-1546 |
| Full Name | Magellan Therapeutic Services, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 94-1388 Moaniani St Ste 214, Waipahu, Hawaii |
| Authorized Official Name and Position | Sandee Villeza (OWNER) |
| Authorized Official Contact | 8082232331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magellan Therapeutic Services, Llc 94-1189 Nanilihilihi St Waipahu HI 96797-4134 Ph: (808) 223-2331 | Magellan Therapeutic Services, Llc 94-1388 Moaniani St Ste 214 Waipahu HI 96797-6604 Ph: (808) 223-2331 |
| NPI Number | 1053896266 |
|---|---|
| Provider Enumeration Date | 10/03/2018 |
| Last Update Date | 10/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053896266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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