Organization
STATE OF HAWAII DEPARTMENT OF HEALTH
Active
Parent organization
STATE OF HAWAII DEPARTMENT OF HEALTH
Other names
Diamond Head Community Mental Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF HAWAII DEPARTMENT OF HEALTH
Authorized official
RAQUEL B. NAKAHARA CPC (FINANCIAL RESOURCE SPECIALIST)
(808) 590-7320
Entity
Organization
Contact information
Practice address
3627 KILAUEA AVE, SUITE 411, HONOLULU, HI 96816-2317
(808) 733-9260
Mailing address
1250 PUNCHBOWL ST, RM 256, HONOLULU, HI 96813-2416
(808) 590-7320
(808) 586-4745
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53937209
—
HI
Enumeration date
12/05/2007
Last updated
06/18/2014
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