| Maui Mind Care Llc | |
|
33 Lono Ave Ste 480 Kahului HI 96732-1608 | |
| (808) 379-3798 | |
| Not Available |
| Full Name | Maui Mind Care Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 33 Lono Ave Ste 480, Kahului, Hawaii |
| Authorized Official Name and Position | Brian Teliho (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8083793798 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maui Mind Care Llc Po Box 1150 Kula HI 96790-1150 Ph: (808) 379-3798 | Maui Mind Care Llc 33 Lono Ave Ste 480 Kahului HI 96732-1608 Ph: (808) 379-3798 |
| NPI Number | 1255090924 |
|---|---|
| Provider Enumeration Date | 12/09/2021 |
| Last Update Date | 12/09/2021 |
| Certification Date | 12/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255090924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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