Organization
STATE OF HAWAII, DEPARTMENT OF HEALTH, EARLY INTERVENTION SECTION
Active
Parent organization
STATE OF HAWAII DEPARTMENT OF HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF HAWAII DEPARTMENT OF HEALTH
Authorized official
STACY KONG (EIS SUPERVISOR)
(808) 594-0007
Entity
Organization
Contact information
Practice address
1010 RICHARDS STREET SUITE 811, HONOLULU, HI 96813
(808) 594-0000
(808) 586-0015
Mailing address
1010 RICHARDS STREET SUITE 811, HONOLULU, HI 96813
(808) 594-0000
(808) 586-0015
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
648660
—
HI
Enumeration date
12/16/2011
Last updated
07/30/2026
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