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Organization

THE RESILIENT LIFE ORGANZATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALICIA FU LMHC (OWNER)
(808) 392-3330
Entity
Organization

Contact information

Practice address
950 KAMEHAMEHA HWY UNIT 962, PEARL CITY, HI 96782-5042
(808) 494-1528
(808) 210-6095
Mailing address
PO BOX 962, PEARL CITY, HI 96782-0962
(808) 392-3330
(808) 210-6095

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
12/13/2023
Last updated
12/13/2023
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