Organization
STATE OF HAWAII DEPARTMENT OF HEALTH
Active
Parent organization
STATE OF HAWAII DEPARTMENT OF HEALTH
Other names
Maui Community Mental Health Center-Wailuku
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF HAWAII DEPARTMENT OF HEALTH
Authorized official
RAQUEL B. NAKAHARA (FINANCIAL RESOURCE SPECIALIST)
(808) 590-7320
Entity
Organization
Contact information
Practice address
121 MAHALANI ST, WAILUKU, HI 96793
(808) 984-2150
Mailing address
1250 PUNCHBOWL ST, RM 256, HONOLULU, HI 96813-2416
(808) 590-7320
(808) 586-8276
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53937204
—
HI
Enumeration date
12/13/2007
Last updated
06/18/2014
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