Bannan Enterprise LLC

NPI #1578136586 in Haleiwa, Hawaii

Provider Information

NPI Number: 1578136586
Entity Type: Organization
Organization Name: Bannan Enterprise LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jul 19, 2021
Last Updated: Jul 19, 2021

Practice Location

Address: 59-777 PUPUKEA RD
City: Haleiwa
State: Hawaii
ZIP Code: 96712-9560
Phone: (808) 388-4974

Authorized Official

Name: SONJA CHRISTINE BIGALKE-BANNAN, LCSW
Title: OWNER
Phone: (808) 388-4974

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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