# GREYWOLF PSYCHIATRY SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821406943
- **Authorized official:** CYNTHIA TAYLOR GREYWOLF DNP-PMHNP, BC (NURSE PRACTITIONER)
- **Authorized official phone:** (603) 380-4550

## Contact information

- **Practice address:** 91-1019 KAMAAHA AVE, 1004, KAPOLEI, HI 96707-2996
- **Practice address phone:** (603) 380-4500
- **Practice address fax:** (603) 658-2679
- **Mailing address:** 91-1019 KAMAAHA AVE, 1004, KAPOLEI, HI 96707-2996
- **Mailing address phone:** (603) 380-4550
- **Mailing address fax:** (603) 658-2679

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 1454 | HI | Yes |

## Other

- **Enumeration date:** 08/01/2014
- **Last updated:** 08/01/2014