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

NPI #1255609202 in Lanai City, Hawaii

Provider Information

NPI Number
1255609202
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
555 FRASER AVE
Address 2
MAUI-FGC-LANAI
State
Hawaii
ZIP Code
96763
Phone
(808) 565-7915

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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Provider Name
State of Hawaii Department of Health

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