| Bridge House, Inc. | |
|
79-7266 Mamalahoa Hwy Ste 10 Kealakekua HI 96750-7919 | |
| (808) 322-3305 | |
| (808) 322-0809 |
| Full Name | Bridge House, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 79-7266 Mamalahoa Hwy Ste 10, Kealakekua, Hawaii |
| Authorized Official Name and Position | Andi Pawasarat-losalio (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8083223305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge House, Inc. Po Box 2489 Kailua Kona HI 96745-2489 Ph: (808) 322-3305 | Bridge House, Inc. 79-7266 Mamalahoa Hwy Ste 10 Kealakekua HI 96750-7919 Ph: (808) 322-3305 |
| NPI Number | 1376878538 |
|---|---|
| Provider Enumeration Date | 10/06/2009 |
| Last Update Date | 08/12/2020 |
| Certification Date | 08/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376878538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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Dept. Of Health-hawaii-child And Adolescent Mental Health Division Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 81-980 Halekii St, Room 101-hawaii Fgc-kona, Kealakekua, HI 96750 Phone: 808-322-1541 Fax: 808-322-1543 | |
Island Therapeutic Specialists Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 81-6587 Mamalahoa Hwy, Suite C-203, Kealakekua, HI 96750 Phone: 808-987-2451 | |
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The Family Psychologist, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 81-6587 Mamalahoa Highway, Pualani Terrace, C-23, Kealakekua, HI 96750 Phone: 808-323-9510 | |
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