Kahala Clinic Intensive Treatment Program

NPI #1306361241 in Honolulu, Hawaii

Provider Information

NPI Number: 1306361241
Entity Type: Organization
Organization Name: Kahala Clinic Intensive Treatment Program
Primary Specialty: Clinic/Center - Adolescent and Children Mental Health
Enumeration Date: Aug 12, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 4211 WAIALAE AVE STE 208
City: Honolulu
State: Hawaii
ZIP Code: 96816-5312
Phone: (808) 888-5228

Authorized Official

Name: DR. JASON RICHARD KEIFER, MD
Title: PRESIDENT
Phone: (808) 888-5228

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X	Primary

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