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

Organization Active NPI Community/Behavioral Health Agency · Pearl City, HI

NPI 1255600656 · NPPES record last updated Dec 14, 2011

Key facts

NPI
1255600656
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
DEPT. OF HEALTH-HAWAII-CHILD AND ADOLESCENT MENTAL HEALTH DIVISION
Practice address
860 Fourth St
2ND Floor-Oahu Central FGC
Pearl City, HI 96782-3312
Phone
(808) 453-5900
Fax
(808) 453-5940
NPI assigned
Dec 14, 2011
Organization subpart
No

Authorized official

Name
Dr. M. Stanton Michels, M.D.
Title
Administrator
Phone
(808) 733-9339

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Hawaii County Comm HLTH (103 organizations share this tax ID)

Locations

3627 Kilauea Ave
Rm 101ATTN
Honolulu, HI 96816
Phone (808) 733-9333

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

860 Fourth St
2ND Floor-Oahu Central FGC
Pearl City, HI 96782-3312

Mailing address

3627 Kilauea Ave
Room 101-Attn: Phao
Honolulu, HI 96816-2317
Phone (808) 733-4198

Other providers in Pearl City, HI

All providers in Pearl City, HI · Community/Behavioral Health Agency in Hawaii

Sources for this page

Verify at the official NPI Registry.