Whalio Doctors

NPI 1013414770

Crossroads Behavioral Health, INC.

Organisation Clinical Psychologist Kapolei, HI

Practice location

Address
91-1010 Shangrila St STE 105, Kapolei, HI 96707-2176
Phone
(808) 377-4300
Mailing address
PO Box 701089, Kapolei, HI 96709-1089

Authorised official

Name
Robert E Jackson
Title
President
Phone
(808) 294-3493

Registered specialties (3)

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PSY809 (HI)
Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X
Child & Adolescent Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0804X

Registry record

NPI
1013414770
Entity type
Organization
NPI issued
10 Apr 2018
Record last updated
13 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.