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

NPI #1518234582 in Hilo, Hawaii

Provider Information

NPI Number: 1518234582
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: 88 KANOELEHUA AVE
Address 2: SUITE A-204: HAWAII FGC-HILO
City: Hilo
State: Hawaii
ZIP Code: 96720-4670
Phone: (808) 933-0610

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X	Primary

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