Organization
KAILUA EARLY INTERVENTION PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAJKEN MECHLING (CEO/PRESIDENT)
(808) 536-1015
Entity
Organization
Contact information
Practice address
970 N KALAHEO AVE STE A203, KAILUA, HI 96734-1869
(808) 261-4999
Mailing address
970 N KALAHEO AVE STE A203, KAILUA, HI 96734-1869
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64676304
—
HI
Enumeration date
12/28/2011
Last updated
12/28/2011
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