Positive Support Services, Llc | |
1611 Huli Rd Kilauea HI 96754-5565 | |
(808) 292-7968 | |
Not Available |
Full Name | Positive Support Services, Llc |
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Speciality | Community/behavioral Health |
Location | 1611 Huli Rd, Kilauea, Hawaii |
Authorized Official Name and Position | Catherine H Wilson (BEHAVIOR ANALYST) |
Authorized Official Contact | 8082927968 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Positive Support Services, Llc 1611 Huli Rd Kilauea HI 96754-5565 Ph: (808) 292-7968 | Positive Support Services, Llc 1611 Huli Rd Kilauea HI 96754-5565 Ph: (808) 292-7968 |
NPI Number | 1417112491 |
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Provider Enumeration Date | 07/18/2008 |
Last Update Date | 07/18/2008 |
Identifier | Type | State | Issuer |
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1417112491 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 16 (Hawaii) | Primary |
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