Hale Kipa, Inc.

NPI #1164627246 in Ewa Beach, Hawaii

Provider Information

NPI Number: 1164627246
Entity Type: Organization
Organization Name: Hale Kipa, Inc.
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Jun 18, 2007
Last Updated: May 11, 2023

Practice Location

Address: 91-2128 OLD FT WEAVER RD
City: Ewa Beach
State: Hawaii
ZIP Code: 96706-1911
Phone: (808) 589-1829

Authorized Official

Name: MRS. VENUS VENUS ROSETE-MEDEIROS
Title: CEO
Phone: (808) 589-1829

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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