Organization
LEGACY LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON MUKAI LCSW, DCSW, CSAC (OWNER)
(808) 259-1521
Entity
Organization
Contact information
Practice address
94-1221 KA UKA BLVD # B202, WAIPAHU, HI 96797-6202
(808) 259-1521
(808) 671-0222
Mailing address
94-1221 KA UKA BLVD # B202, WAIPAHU, HI 96797-6202
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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