Organization
KIA CLINICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD BROUWERS PH.D. (PRESIDENT)
(808) 220-6689
Entity
Organization
Contact information
Practice address
2752 WOODLAWN DR STE 5-212, HONOLULU, HI 96822-1855
(808) 339-3046
(808) 339-3047
Mailing address
PO BOX 61127, HONOLULU, HI 96839-1127
(808) 220-6689
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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