Organization
THE VILLAGE PERINATAL PROGRAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTENIA BACON PSYD, LCSW (PARTNER)
(808) 250-3860
Entity
Organization
Contact information
Practice address
59-028 OOPUOLA ST, HALEIWA, HI 96712-9748
(808) 250-3860
Mailing address
59-028 OOPUOLA ST, HALEIWA, HI 96712-9748
(808) 250-3860
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/25/2025
Last updated
04/05/2026
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