| Good Grief Clinic Llc | |
|
752 Lower Main St Wailuku HI 96793-1480 | |
| (808) 364-9391 | |
| Not Available |
| Full Name | Good Grief Clinic Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 752 Lower Main St, Wailuku, Hawaii |
| Authorized Official Name and Position | Mari M Kanemura (CLINIC DIRECTOR) |
| Authorized Official Contact | 8083649391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Grief Clinic Llc 1731 Kamamalu Pl Wailuku HI 96793-2505 Ph: (808) 364-9391 | Good Grief Clinic Llc 752 Lower Main St Wailuku HI 96793-1480 Ph: (808) 364-9391 |
| NPI Number | 1508534132 |
|---|---|
| Provider Enumeration Date | 08/30/2021 |
| Last Update Date | 08/30/2021 |
| Certification Date | 08/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508534132 | NPI | - | NPPES |
| 793085 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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