Organization
KEIKI CLUB HOUSE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHERINE LONG LMFT, ED.D., LMFT (ADMINISTRATOR-THERAPIST)
(808) 298-6555
Entity
Organization
Contact information
Practice address
4504 KUKUI ST, KAPAA, HI 96746-1701
(808) 298-6555
Mailing address
PO BOX 510232, KEALIA, HI 96751-0232
(808) 298-6555
(808) 320-8057
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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