Organization
BIG ISLAND PSYCHIATRY LLC
Active
Other names
Big Island Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANNING SCOTT SLATE M.D. (OWNER)
(253) 678-5715
Entity
Organization
Contact information
Practice address
65-1230 MAMALAHOA HWY, STE D21, KAMUELA, HI 96743-8318
(253) 678-5715
Mailing address
PO BOX 23, PAHOA, HI 96778-0023
(253) 678-5715
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
MD-18550
HI
Other
Enumeration date
03/18/2017
Last updated
03/18/2017
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