| Maui Community Mental Health Center - Lanai Clinic | |
|
730 Lanai Ave Suite 6 Lanai City HI 96763 | |
| (808) 984-2150 | |
| (808) 984-2155 |
| Full Name | Maui Community Mental Health Center - Lanai Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 730 Lanai Ave, Lanai City, Hawaii |
| Authorized Official Name and Position | Raquel B. Nakahara (FINANCIAL RESOURCE SPECIALIST) |
| Authorized Official Contact | 8085907320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maui Community Mental Health Center - Lanai Clinic 1250 Punchbowl St Rm 256 Honolulu HI 96813-2416 Ph: (808) 590-7320 | Maui Community Mental Health Center - Lanai Clinic 730 Lanai Ave Suite 6 Lanai City HI 96763 Ph: (808) 984-2150 |
| NPI Number | 1942483839 |
|---|---|
| Provider Enumeration Date | 12/13/2007 |
| Last Update Date | 06/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942483839 | NPI | - | NPPES |
| 53937206 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Dept. Of Health-hawaii-child And Adolescent Mental Health Division Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 Fraser Ave, Maui-fgc-lanai, Lanai City, HI 96763 Phone: 808-565-7915 |