Organization
NORTH SHORE MENTAL HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN KEHOE PH.D (CHIEF OPERATING OFFICER)
(808) 638-8700
Entity
Organization
Contact information
Practice address
56-117 PUALALEA ST, KAHUKU, HI 96731-2052
(808) 638-8700
(808) 638-7919
Mailing address
56-117 PUALALEA ST, KAHUKU, HI 96731-2052
(808) 638-8700
(808) 638-7919
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
W20544464-01
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55628500
—
HI
Enumeration date
05/03/2011
Last updated
05/03/2011
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