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Organization
AMPHORA LLC
Active
Organization
AMPHORA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GOVIND RAE (CEO)
(831) 359-9814
Entity
Organization
Contact information
Practice address
4236 CARNATION PL, HONOLULU, HI 96816-3905
(831) 359-9814
Mailing address
4236 CARNATION PL, HONOLULU, HI 96816-3905
(831) 359-9814
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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