Organization
KU ALOHA OLA MAU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA COOK (EXECUTIVE DIRECTOR)
(808) 538-0704
Entity
Organization
Contact information
Practice address
15-1926 PUAKALO (30TH) AVE., KEAAU, HI 96749
(808) 982-9555
(808) 982-9554
Mailing address
1130 N NIMITZ HWY, C302, HONOLULU, HI 96817-4579
(808) 538-0704
(808) 538-0474
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
HI
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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