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Organization

MAUI YOUTH AND FAMILY SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. GAIL PATRICIA GNAZZO QCSW (CEO)
(808) 579-8414
Entity
Organization

Contact information

Practice address
200 IKE DR, MAKAWAO, HI 96768-9718
(808) 579-8414
(808) 579-8426
Mailing address
PO BOX 790006, PAIA, HI 96779-0006
(808) 579-8414
(808) 579-8426

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
12TLP
HI
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
74STF
HI
3245S0500X
Children's Substance Abuse Rehabilitation Facility
51STF
HI
3245S0500X
Children's Substance Abuse Rehabilitation Facility
60STF
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000245324
HMSA BLUE CROSS BLUE SHIE
HI
Enumeration date
05/31/2005
Last updated
09/11/2025
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