Organization
AMANDA YOUTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA YOUTH (MANAGER)
(808) 728-9866
Entity
Organization
Contact information
Practice address
99-080 KAUHALE ST STE C20, AIEA, HI 96701-4114
(808) 707-7556
Mailing address
99-080 KAUHALE ST STE C20, AIEA, HI 96701-4114
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
08/25/2022
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