Organization
KAPIOLANI MEDICAL CENTER EARLY INTERVENTION PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ADRIENNE MARK M.ED (PROGRAM MANAGER)
(808) 483-4912
Entity
Organization
Contact information
Practice address
99-080 KAUHALE ST, AIEA, HI 96701-4116
(808) 483-4906
Mailing address
99-080 KAUHALE ST, AIEA, HI 96701-4116
(808) 483-4906
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64710901
—
HI
Enumeration date
05/04/2012
Last updated
05/04/2012
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