Maui Memorial Medical Center - Behavior Health

NPI #1528391448 in Wailuku, Hawaii

Provider Information

NPI Number: 1528391448
Entity Type: Organization
Organization Name: Maui Memorial Medical Center - Behavior Health
Subpart: Yes (part of a larger organization)
Parent Organization: HAWAII HEALTH SYSTEM CORPORATION
Primary Specialty: Psychologist
Enumeration Date: Sep 10, 2009
Last Updated: Sep 10, 2009

Practice Location

Address: 221 MAHALANI ST
City: Wailuku
State: Hawaii
ZIP Code: 96793-2526
Phone: (808) 244-9056

Authorized Official

Name: MR. RUSSELL JOHNSON
Title: CHIEF FINANCIAL OFFICER
Phone: (808) 242-2027

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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