Community Mental Health Center Clubhouse- Hale O Lanakila

NPI #1578746467 in Wailuku, Hawaii

Provider Information

NPI Number: 1578746467
Entity Type: Organization
Organization Name: Community Mental Health Center Clubhouse- Hale O Lanakila
Subpart: Yes (part of a larger organization)
Parent Organization: DEPARTMENT OF HEALTH, ADULT MENTAL HEALTH DIVISION
Primary Specialty: Community/Behavioral Health
Enumeration Date: Dec 13, 2007
Last Updated: Dec 13, 2007

Practice Location

Address: 1765 WILI PA LOOP
City: Wailuku
State: Hawaii
ZIP Code: 96793
Phone: (808) 984-2156

Authorized Official

Name: RAQUEL B. NAKAHARA
Title: FINANCIAL RESOURCE SPECIALIST
Phone: (808) 586-8276

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X	Primary

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