Organization
MENTAL HEALTH KOKUA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG PAYTON (EXECUTIVE DIRECTOR)
(808) 737-2523
Entity
Organization
Contact information
Practice address
6330 KOUKALAKA PL, WAILUA HOUSE, KAPAA, HI 96746-9560
(808) 737-2523
Mailing address
1221 KAPIOLANI BLVD, STE 345, HONOLULU, HI 96814-3503
(808) 737-2523
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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