Organization · Type 2 NPI

Johanna Park

Community/Behavioral Health Agency · Hilo, HI

NPI number 1093252124 Active

Practice location

120 Keawe St Ste 203B, Suite 202
Hilo, HI 96720-2874

Mailing address

16-566 Keaau Pahoa Rd Ste 188-367
Keaau, HI 96749-8137

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XLMHC 427 (HI)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1093252124

Johanna Park's National Provider Identifier is 1093252124, issued on Jan 27, 2017. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Hilo, HI. The record was last updated on Dec 17, 2025.