| Community Mental Health Center Clubhouse- Hale O Lanakila | |
|
1765 Wili Pa Loop Wailuku HI 96793 | |
| (808) 984-2156 | |
| Not Available |
| Full Name | Community Mental Health Center Clubhouse- Hale O Lanakila |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1765 Wili Pa Loop, Wailuku, Hawaii |
| Authorized Official Name and Position | Raquel B. Nakahara (FINANCIAL RESOURCE SPECIALIST) |
| Authorized Official Contact | 8085868276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Mental Health Center Clubhouse- Hale O Lanakila 1250 Punchbowl St Rm 256 Honolulu HI 96813-2416 Ph: () - | Community Mental Health Center Clubhouse- Hale O Lanakila 1765 Wili Pa Loop Wailuku HI 96793 Ph: (808) 984-2156 |
| NPI Number | 1578746467 |
|---|---|
| Provider Enumeration Date | 12/13/2007 |
| Last Update Date | 12/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578746467 | NPI | - | NPPES |
| 53937222 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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