Organization
HALE O MOAKAAKA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CHADWICK LYON LCSW (CHIEF CLINICAL OFFICER)
(270) 231-7022
Entity
Organization
Contact information
Practice address
153 E KAMEHAMEHA AVE STE 104, KAHULUI, HI 96732-3424
(808) 600-6242
Mailing address
153 E KAMEHAMEHA AVE STE 104, KAHULUI, HI 96732-3424
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
34007463A
IN
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/09/2016
Last updated
02/09/2023
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