Organization
CAROL S. BLUM, PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL S BLUM PHD (OWNER)
(808) 785-0715
Entity
Organization
Contact information
Practice address
65-1206 MAMALAHOA HWY, SUITE 2-205, KAMUELA, HI 96743-7303
(808) 785-0715
Mailing address
65-1206 MAMALAHOA HWY, SUITE 2-205, KAMUELA, HI 96743-7303
(808) 785-0715
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1486
HI
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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