Organization
COURAGEOUS MINDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER JOHNSTON LCSW (OWNER)
(808) 666-1442
Entity
Organization
Contact information
Practice address
160 KEONEKAI RD APT 27-206, KIHEI, HI 96753-7145
(808) 666-1442
(808) 666-1442
Mailing address
160 KEONEKAI RD APT 27-206, KIHEI, HI 96753-7145
(808) 666-1442
(808) 666-1442
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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