| Child And Family Service | |
|
95-1091 Ainamakua Dr Mililani HI 96789-4252 | |
| (808) 476-3314 | |
| Not Available |
| Full Name | Child And Family Service |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 95-1091 Ainamakua Dr, Mililani, Hawaii |
| Authorized Official Name and Position | Linda C Fox (CHIEF PROGRAM OFFICER) |
| Authorized Official Contact | 8082923078 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Child And Family Service 95-1091 Ainamakua Dr Mililani HI 96789-4252 Ph: (808) 476-3314 | Child And Family Service 95-1091 Ainamakua Dr Mililani HI 96789-4252 Ph: (808) 476-3314 |
| NPI Number | 1922616549 |
|---|---|
| Provider Enumeration Date | 07/20/2020 |
| Last Update Date | 09/24/2024 |
| Certification Date | 07/20/2020 |
| Medicare PECOS PAC ID | 2961931829 |
|---|---|
| Medicare Enrollment ID | O20250122003365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922616549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Alissa Schneider Berg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942858113 PECOS PAC ID: 1951830819 Enrollment ID: I20250122003411 |
| Provider Name | Jonathan Bryon Martin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932813060 PECOS PAC ID: 0840712360 Enrollment ID: I20250313002677 |
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