| State Of Hawaii, Dept Of Health, Adult Mental Health Division | |
|
45-691 Keaahala Rd Kaneohe HI 96744-3569 | |
| (808) 233-3775 | |
| (808) 233-3779 |
| Full Name | State Of Hawaii, Dept Of Health, Adult Mental Health Division |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 45-691 Keaahala Rd, Kaneohe, Hawaii |
| Authorized Official Name and Position | Cathleen Rl Jones (CENTER MANAGER) |
| Authorized Official Contact | 8082333775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State Of Hawaii, Dept Of Health, Adult Mental Health Division 45-691 Keaahala Rd Kaneohe HI 96744-3569 Ph: (808) 233-3775 | State Of Hawaii, Dept Of Health, Adult Mental Health Division 45-691 Keaahala Rd Kaneohe HI 96744-3569 Ph: (808) 233-3775 |
| NPI Number | 1649567512 |
|---|---|
| Provider Enumeration Date | 06/29/2011 |
| Last Update Date | 06/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649567512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 3714 (Hawaii) | Primary |
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