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Organization

FAMILY TREE PROJECT, LLP

Active
Parent organization
OHANA KOA
Organization subpart
Yes

Provider details

NPI number
Legal business name
OHANA KOA
Authorized official
MRS. CORY NICOLAS LMHC (PARTNER)
(808) 778-6797
Entity
Organization

Contact information

Practice address
1001 KAMOKILA BLVD STE 133, KAPOLEI, HI 96707-2097
(808) 778-6797
Mailing address
PO BOX 970010, WAIPAHU, HI 96797-0010
(808) 778-6797

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHC-340, MHC-348
HI

Other

Enumeration date
11/29/2014
Last updated
11/29/2014
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