Organization
HONOLULU PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND DAVIDSON MD (OWNER)
(808) 386-6851
Entity
Organization
Contact information
Practice address
2228 LILIHA ST STE 404, HONOLULU, HI 96817-1654
(808) 388-4969
(808) 748-3017
Mailing address
2228 LILIHA ST STE 404, HONOLULU, HI 96817-1654
(808) 386-6851
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
MD-15998
HI
261QM0850X
Adult Mental Health Clinic/Center
MD159987
HI
Other
Enumeration date
02/03/2012
Last updated
03/17/2018
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