Organization
POSITIVE SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHERINE H WILSON M.ED,BCBA,LMHC (BEHAVIOR ANALYST)
(808) 292-7968
Entity
Organization
Contact information
Practice address
1611 HULI RD, KILAUEA, HI 96754-5565
(808) 292-7968
Mailing address
1611 HULI RD, KILAUEA, HI 96754-5565
(808) 292-7968
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
16
HI
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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