Organization
TEAM CARE CLINICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK AKIRA JICHAKU PH.D. (LICENSED PSYCHOLOGIST)
(808) 763-8700
Entity
Organization
Contact information
Practice address
66-434 KAMEHAMEHA HWY STE B, HALEIWA, HI 96712
(808) 763-8700
Mailing address
58-129 WEHIWA WAY, HALEIWA, HI 96712-9757
(808) 763-8700
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/17/2019
Last updated
10/02/2019
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