Organization
IMUA HEALTH GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS PURDY (CFO)
(808) 953-4682
Entity
Organization
Contact information
Practice address
99-080 KAUHALE ST STE C20, AIEA, HI 96701-4114
(808) 953-4682
Mailing address
99-080 KAUHALE ST STE C20, AIEA, HI 96701-4114
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
171100000X
Acupuncturist
—
—
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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