Organization
STATE OF HAWAII DEPARTMENT OF HEALTH
Active
Other names
CAMHD - Heritage Youth SVC/ Birdseye RTC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANTON M MICHELS M.D. (CAMHD ADMINISTRATOR)
(808) 733-9339
Entity
Organization
Contact information
Practice address
3627 KILAUEA AVE, RM 101, HONOLULU, HI 96816-2317
(808) 733-9333
(808) 733-9357
Mailing address
3627 KILAUEA AVE, RM 101, HONOLULU, HI 96816-2317
(808) 733-9333
(808) 733-9357
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/05/2009
Last updated
09/30/2011
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