NPI 1316290489

Jeanette Evans, INC.

Organisation Community/Behavioral Health Agency Wailuku, HI

Practice location

Address: 55 N Church St Suite #2, Wailuku, HI 96793-1682
Phone: (808) 244-6881
Mailing address: 3095 Kekaulike Ave, Kula, HI 96790-8483

Authorised official

Name: Jeanette Christine Evans
Title: President
Phone: (808) 244-6881

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 501 (HI)

Other Community/Behavioral Health providers in Hawaii →

Registry record

NPI: 1316290489
Entity type: Organization
NPI issued: 25 Oct 2012
Record last updated: 25 Oct 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.