Community Mental Health Center Clubhouse-Diamond Head
Organization Active NPI Community/Behavioral Health Agency · Honolulu, HI
NPI 1013190909 · NPPES record last updated Dec 13, 2007
Key facts
- NPI
- 1013190909
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- COMMUNITY MENTAL HEALTH CENTER CLUBHOUSE-DIAMOND HEAD
- Practice address
- 3627 Kilauea Ave
BLDG. 410
Honolulu, HI 96816 - Phone
- (808) 733-9188
- NPI assigned
- Dec 13, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- DEPARTMENT OF HEALTH, ADULT MENTAL HEALTH DIVISION
Authorized official
- Name
- Raquel B. Nakahara
- Title
- Financial Resource Specialist
- Phone
- (808) 586-8276
Corporate family (same tax ID) 12
National Provider Directory
- Tax ID family
- Hawaii County Comm HLTH
- Part of
- Hawaii County Comm HLTH
Locations
3627 Kilauea Ave
Bldg 410
Honolulu, HI 96816
Phone (808) 733-9188
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
3627 Kilauea Ave
BLDG. 410
Honolulu, HI 96816
Mailing address
1250 Punchbowl St
RM 256
Honolulu, HI 96813-2416
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All providers in Honolulu, HI · Community/Behavioral Health Agency in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.