NPI 1164791562
Dept. of Health-Hawaii-Child and Adolescent Mental Health Division
Practice location
- Address
- 45-691 Keaahala Rd Oahu Central Fgc-Kaneohe, Kaneohe, HI 96744-3569
- Phone
- (808) 233-3770
- Fax
- (808) 233-5659
- Mailing address
- 3627 Kilauea Ave Room 101-Attn: Phao, Honolulu, HI 96816-2317
Authorised official
- Name
- M. Stanton Michels
- Title
- Administrator
- Phone
- (808) 733-9339
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1164791562
- Entity type
- Organization
- NPI issued
- 14 Dec 2011
- Record last updated
- 14 Dec 2011
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.