| Family Tree Project, Llp | |
|
1001 Kamokila Blvd Ste 133 Kapolei HI 96707-2097 | |
| (808) 778-6797 | |
| Not Available |
| Full Name | Family Tree Project, Llp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1001 Kamokila Blvd Ste 133, Kapolei, Hawaii |
| Authorized Official Name and Position | Cory Nicolas (PARTNER) |
| Authorized Official Contact | 8087786797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Tree Project, Llp Po Box 970010 Waipahu HI 96797-0010 Ph: (808) 778-6797 | Family Tree Project, Llp 1001 Kamokila Blvd Ste 133 Kapolei HI 96707-2097 Ph: (808) 778-6797 |
| NPI Number | 1427455997 |
|---|---|
| Provider Enumeration Date | 11/29/2014 |
| Last Update Date | 11/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427455997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHC-340, MHC-348 (Hawaii) | Primary |
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