Hale O Moakaaka LLC

NPI #1821542754 in Kahului, Hawaii

Provider Information

NPI Number: 1821542754
Entity Type: Organization
Organization Name: Hale O Moakaaka LLC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Aug 9, 2016
Last Updated: Feb 9, 2023

Practice Location

Address: 153 E KAMEHAMEHA AVE STE 104
City: Kahului
State: Hawaii
ZIP Code: 96732-3424
Phone: (808) 600-6242

Authorized Official

Name: JAMES CHADWICK LYON, LCSW
Title: CHIEF CLINICAL OFFICER
Phone: (270) 231-7022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospice Care, Community Based	251G00000X
Community/Behavioral Health	251S00000X
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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