| Koa Mental Health Llc | |
|
1034 Ulana Pl Hilo HI 96720-3261 | |
| (808) 333-8094 | |
| Not Available |
| Full Name | Koa Mental Health Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1034 Ulana Pl, Hilo, Hawaii |
| Authorized Official Name and Position | Joseph Daniel Gomez (OWNER/OPERATER) |
| Authorized Official Contact | 8083338094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Koa Mental Health Llc 4217 W Winter Evening Pl Fayetteville AR 72704-7198 Ph: (808) 333-8094 | Koa Mental Health Llc 1034 Ulana Pl Hilo HI 96720-3261 Ph: (808) 333-8094 |
| NPI Number | 1639969264 |
|---|---|
| Provider Enumeration Date | 05/07/2025 |
| Last Update Date | 05/07/2025 |
| Certification Date | 05/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639969264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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