NPIMap

Waianae Coast Community Mental Health Center, Inc.

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Waianae, HI

NPI 1124299136 · NPPES record last updated Sep 19, 2024

Key facts

NPI
1124299136
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Legal business name
WAIANAE COAST COMMUNITY MENTAL HEALTH CENTER, INC.
Practice address
86-226 Farrington Hwy
Waianae, HI 96792-3128
Phone
(808) 696-4211
Fax
(808) 696-5516
NPI assigned
Mar 18, 2008
Reactivated
Aug 29, 2024
Organization subpart
No

Authorized official

Name
Mr. Pohaokalani Sonoda-Burgess, ESQ, LSW
Title
Executive Director
Phone
(808) 696-4211

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

86-226 Farrington Hwy
Waianae, HI 96792
Phone (808) 696-4211

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Yes
Mental Illness Community Based Residential Treatment Facility 320800000X

Addresses

Primary practice location

86-226 Farrington Hwy
Waianae, HI 96792-3128

Mailing address

86-226 Farrington Hwy
Waianae, HI 96792-3128
Phone (808) 696-4211

Other identifiers

IdentifierTypeStateIssuer
050319501MedicaidHI
503195MedicaidHI

Other names

  • Hale Naau Pono Doing business as

Other providers in Waianae, HI

All providers in Waianae, HI · Mental Health Clinic/Center (Including Community Mental Health Center) in Hawaii

Sources for this page

Verify at the official NPI Registry.