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Organization

MENTAL HEALTH KOKUA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREG PAYTON (EXECUTIVE DIRECTOR)
(808) 737-2523
Entity
Organization

Contact information

Practice address
91-1001 NIOLO ST, EWA BEACH, HI 96706-5116
(808) 737-2523
Mailing address
1221 KAPIOLANI BLVD, STE 325, HONOLULU, HI 96814-3503
(808) 737-2523

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary

Other

Enumeration date
02/24/2014
Last updated
02/24/2014
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