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

NPI #1700153772 in Kapolei, Hawaii

Provider Information

NPI Number: 1700153772
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: 601 KAMOKILA BLVD
Address 2: ROOM 355-OAHU LEEWARD FGC
City: Kapolei
State: Hawaii
ZIP Code: 96707-2023
Phone: (808) 692-7700

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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