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

Organization Active NPI Community/Behavioral Health Agency · Wailuku, HI

NPI 1962779934 · NPPES record last updated Nov 18, 2011

Key facts

NPI
1962779934
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
270 Waiehu Beach Rd
Unit 213-Maui FGC-Wailuku
Wailuku, HI 96793-1472
Phone
(808) 243-1252
Fax
(808) 243-1254
NPI assigned
Nov 18, 2011
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 14

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

270 Waiehu Beach Rd
Unit 213MAUI
Wailuku, HI 96793
Phone (808) 243-1252

Specialties & licenses

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

Addresses

Primary practice location

270 Waiehu Beach Rd
Unit 213-Maui FGC-Wailuku
Wailuku, HI 96793-1472

Mailing address

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

Other providers in Wailuku, HI

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

Sources for this page

Verify at the official NPI Registry.