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

NPI #1942577739 in Hauula, Hawaii

Provider Information

NPI Number: 1942577739
Entity Type: Organization
Organization Name: Dept. of Health-Hawaii-Child and Adolescent Mental Health Division
Primary Specialty: Community/Behavioral Health
Enumeration Date: Nov 21, 2011
Last Updated: Nov 21, 2011

Practice Location

Address: 54-010 KUKUNA ST
Address 2: OAHU CENTRAL-FGC-HAUULA
City: Hauula
State: Hawaii
ZIP Code: 96717-9628
Phone: (808) 293-8993

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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