Organization
KAUAI COMMUNITY MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD DETUCCI LCSW (CENTER MANAGER)
(808) 274-3190
Entity
Organization
Contact information
Practice address
3-3212 KUHIO HWY, LIHUE, HI 96766-1142
(808) 274-3190
(808) 274-3194
Mailing address
3-3212 KUHIO HWY, LIHUE, HI 96766-1142
(808) 274-3190
(808) 274-3194
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
539372-01
—
HI
Enumeration date
04/13/2007
Last updated
08/22/2020
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