Organization
MAUI MEMORIAL MEDICAL CENTER - BEHAVIOR HEALTH
Active
Parent organization
HAWAII HEALTH SYSTEM CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
HAWAII HEALTH SYSTEM CORPORATION
Authorized official
MR. RUSSELL JOHNSON (CHIEF FINANCIAL OFFICER)
(808) 242-2027
Entity
Organization
Contact information
Practice address
221 MAHALANI ST, WAILUKU, HI 96793-2526
(808) 244-9056
Mailing address
221 MAHALANI ST, WAILUKU, HI 96793-2526
(808) 244-9056
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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