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

NPI #1336416304 in Kealakekua, Hawaii

Provider Information

NPI Number
1336416304
Entity Type
Organization
Organization Name
Dept. of Health-Hawaii-Child and Adolescent Mental Health Division
Primary Specialty
Community/Behavioral Health
Enumeration Date
Nov 18, 2011
Last Updated
Nov 18, 2011

Practice Location

Address
81-980 HALEKII ST
Address 2
ROOM 101-HAWAII FGC-KONA
State
Hawaii
ZIP Code
96750-8177
Phone
(808) 322-1541

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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