NPI 1083968747

Dept. of Health-Hawaii-Developmental Disabilities Division Cmu7

Organisation Developmental Disabilities Clinic/Center Pearl City, HI

Practice location

Address: 2201 Waimano Home Rd Hale 'E', Pearl City, HI 96782-1474
Phone: (808) 587-6043
Mailing address: 1250 Punchbowl St Room 463 Attn: Phao, Honolulu, HI 96813-2416

Authorised official

Name: David Fray
Title: Chief
Phone: (808) 586-5842

Registered specialties

Developmental Disabilities Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD1600X

Other Clinic/Center providers in Hawaii →

Registry record

NPI: 1083968747
Entity type: Organization
NPI issued: 2 Nov 2012
Record last updated: 2 Nov 2012

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.