Organization
NEW WAVES WELLNESS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERI HOLTER LCSW (TREASURER)
(808) 205-8055
Entity
Organization
Contact information
Practice address
3660 BALDWIN AVE, MAKAWAO, HI 96768-7503
(808) 205-8055
Mailing address
PO BOX 458, MAKAWAO, HI 96768-0458
(808) 205-8055
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LCSW3180
HI
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
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