Organization
STATE OF HAWAII, DEPARTMENT OF HEALTH, EARLY INTERVENTION SERVICES
Active
Other names
DOHEIP
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUE BROWN M.ED. (SUPERVISOR)
(808) 594-0006
Entity
Organization
Contact information
Practice address
1350 S KING ST, SUITE 200, HONOLULU, HI 96814-2009
(808) 594-0000
(808) 594-0073
Mailing address
1350 S KING ST, SUITE 200, HONOLULU, HI 96814-2009
(808) 594-0000
(808) 594-0073
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007677
—
HI
Enumeration date
12/15/2006
Last updated
08/22/2020
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