Dept. of Health-Hawaii-Child and Adolescent Mental Health Division

NPI #1184992158 in Kaunakakai, Hawaii

Provider Information

NPI Number
1184992158
Entity Type
Organization
Organization Name
Dept. of Health-Hawaii-Child and Adolescent Mental Health Division
Primary Specialty
Community/Behavioral Health
Enumeration Date
Dec 6, 2011
Last Updated
Dec 6, 2011

Practice Location

Address
65 MAKAENA ST
Address 2
MAUI-FGC-MOLOKAI
State
Hawaii
ZIP Code
96748
Phone
(808) 553-5067

Authorized Official

Name
DR. M. STANTON MICHELS, M.D.
Title
ADMINISTRATOR
Phone
(808) 733-9339

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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