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Organization
HNL RECOVERY AND PSYCHOLOGICAL SERVICES
Active
Organization
HNL RECOVERY AND PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISAIAH MATTHEW MORENO PSYD (CLINICAL DIRECTOR)
(808) 233-9775
Entity
Organization
Contact information
Practice address
5303 PAPAI ST, HONOLULU, HI 96821-1945
(808) 489-3012
Mailing address
5307 PAPAI ST, HONOLULU, HI 96821-1945
(808) 489-3012
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
NULL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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