NPI 1548520091

Metamorphosis, LLC

Organisation Community/Behavioral Health Agency Kula, HI

Practice location

Address: 50 Calasa Rd, Kula, HI 96790-8101
Phone: (808) 783-4404
Mailing address: PO Box 784, Kula, HI 96790-0784

Authorised official

Name: Ilana Alaneo Fernandez
Title: Owner
Phone: (808) 783-4404

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence PSY - 959 (HI)

Other Community/Behavioral Health providers in Hawaii →

Registry record

NPI: 1548520091
Entity type: Organization
NPI issued: 17 May 2012
Record last updated: 7 Mar 2014

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.