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Organization

COMMUNITY MENTAL HEALTH CENTER CLUBHOUSE - HALE O HONOLULU

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
780 S. BERETANIA ST, HONOLULU, HI 96813
(808) 586-3978
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
53937225
HI
Enumeration date
12/13/2007
Last updated
12/13/2007
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