Organization
COMMUNITY MENTAL HEALTH CENTER CLUBHOUSE- HALE O LANAKILA
Active
Parent organization
DEPARTMENT OF HEALTH, ADULT MENTAL HEALTH DIVISION
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEPARTMENT OF HEALTH, ADULT MENTAL HEALTH DIVISION
Authorized official
RAQUEL B. NAKAHARA (FINANCIAL RESOURCE SPECIALIST)
(808) 586-8276
Entity
Organization
Contact information
Practice address
1765 WILI PA LOOP, WAILUKU, HI 96793
(808) 984-2156
Mailing address
1250 PUNCHBOWL ST, RM 256, HONOLULU, HI 96813-2416
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53937222
—
HI
Enumeration date
12/13/2007
Last updated
12/13/2007
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