Organization
DEPT. OF HEALTH-HAWAII-CHILD AND ADOLESCENT MENTAL HEALTH DIVISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. M. STANTON MICHELS M.D. (ADMINISTRATOR)
(808) 733-9339
Entity
Organization
Contact information
Practice address
3627 KILAUEA AVE, ROOM 401-HONOLULU FGC, HONOLULU, HI 96816-2317
(808) 733-9393
(808) 733-9377
Mailing address
3627 KILAUEA AVE, ROOM 101-ATTN: PHAO, HONOLULU, HI 96816-2317
(808) 733-4198
(808) 733-8375
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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