NPI 1164627246

Hale Kipa, INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Ewa Beach, HI

Practice location

Address: 91-2128 Old Ft Weaver Rd, Ewa Beach, HI 96706-1911
Phone: (808) 589-1829
Fax: (808) 589-2610

Authorised official

Name: Venus Venus Rosete-Medeiros
Title: Ceo
Phone: (808) 589-1829

Registered specialties (3)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence W2005550002 (HI)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Hawaii →

Addiction (Substance Use Disorder) Counselor

Behavioral Health & Social Service Providers Taxonomy 101YA0400X

Other Counselor providers in Hawaii →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Registry record

NPI: 1164627246
Entity type: Organization
NPI issued: 18 Jun 2007
Record last updated: 11 May 2023

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.