Organization
MAUI BEHAVIORAL HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DUDLEY LANSER JR. LCSW (PRESIDENT)
(808) 280-4842
Entity
Organization
Contact information
Practice address
270 HOOKAHI ST STE 212, WAILUKU, HI 96793-1466
(808) 280-4842
Mailing address
PO BOX 337, KIHEI, HI 96753-0337
(808) 280-4842
(855) 413-0922
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3066
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528234
—
HI
Enumeration date
02/16/2018
Last updated
02/16/2018
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