| Residential Youth Services & Empowerment | |
|
42-470 Kalanianaole Hwy Kailua HI 96734-4373 | |
| (808) 498-5180 | |
| Not Available |
| Full Name | Residential Youth Services & Empowerment |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 42-470 Kalanianaole Hwy, Kailua, Hawaii |
| Authorized Official Name and Position | Derek Dickard (DIRECTOR) |
| Authorized Official Contact | 8082600348 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Residential Youth Services & Empowerment 42-470 Kalanianaole Hwy Kailua HI 96734-4373 Ph: (808) 498-5180 | Residential Youth Services & Empowerment 42-470 Kalanianaole Hwy Kailua HI 96734-4373 Ph: (808) 498-5180 |
| NPI Number | 1821628280 |
|---|---|
| Provider Enumeration Date | 01/23/2020 |
| Last Update Date | 01/23/2020 |
| Certification Date | 01/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821628280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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