| Maui Behavioral Health Services, Inc. | |
|
270 Hookahi St Ste 212 Wailuku HI 96793-1466 | |
| (808) 280-4842 | |
| Not Available |
| Full Name | Maui Behavioral Health Services, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 270 Hookahi St Ste 212, Wailuku, Hawaii |
| Authorized Official Name and Position | Robert Dudley Lanser (PRESIDENT) |
| Authorized Official Contact | 8082804842 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maui Behavioral Health Services, Inc. Po Box 337 Kihei HI 96753-0337 Ph: (808) 280-4842 | Maui Behavioral Health Services, Inc. 270 Hookahi St Ste 212 Wailuku HI 96793-1466 Ph: (808) 280-4842 |
| NPI Number | 1235639154 |
|---|---|
| Provider Enumeration Date | 02/16/2018 |
| Last Update Date | 02/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235639154 | NPI | - | NPPES |
| 528234 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3066 (Hawaii) | Primary |
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