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

NPI #1881961852 in Kamuela, Hawaii

Provider Information

NPI Number: 1881961852
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 22, 2011

Practice Location

Address: 65-1230 MAMALAHOA HWY
Address 2: SUITE A-11-HAWAII FGC-WAIMEA
City: Kamuela
State: Hawaii
ZIP Code: 96743-8318
Phone: (808) 887-8100

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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