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Organization

STATE OF HAWAII DEPARTMENT OF HEALTH

Active
Parent organization
STATE OF HAWAII DEPARTMENT OF HEALTH
Other names
Central Oahu Community Mental Health Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
STATE OF HAWAII DEPARTMENT OF HEALTH
Authorized official
RAQUEL B. NAKAHARA CPC (FINANCIAL RESOURCE SPECIALIST)
(808) 590-7320
Entity
Organization

Contact information

Practice address
860 FOURTH ST, PEARL CITY, HI 96782-3312
(808) 590-7320
Mailing address
1250 PUNCHBOWL ST, RM 256, HONOLULU, HI 96813-2416
(808) 590-7320
(808) 586-4745

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
53937210
HI
Enumeration date
12/05/2007
Last updated
06/18/2014
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