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

NPI #1962779934 in Wailuku, Hawaii

Provider Information

NPI Number: 1962779934
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: 270 WAIEHU BEACH RD
Address 2: UNIT 213-MAUI FGC-WAILUKU
City: Wailuku
State: Hawaii
ZIP Code: 96793-1472
Phone: (808) 243-1252

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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