Organization · Type 2 NPI

State of Hawaii Department of Health

Community/Behavioral Health Agency · Hauula, HI

NPI number 1679756563 Active

Practice location

54-010 Kukuna Road
Hauula, HI 96717

Call (808) 233-3775 Map

Mailing address

1250 Punchbowl St, Rm 256
Honolulu, HI 96813-2416

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

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…

Other community/behavioral health agency providers in Hauula

Dept. of Health-Hawaii-Child and Adolescent Mental Health DivisionCommunity/Behavioral Health Agency Hauula, HI NPI 1942577739

See all in Hauula →

NPI record

NPI: 1679756563
Entity type: Organization (Type 2)
Issued: Dec 13, 2007
Last updated: Jun 18, 2014
Status: Active
Subpart: Yes of State of Hawaii Department of Health

Other names

<unavail>
Koolauloa Clinic · doing business as

Authorized official

Raquel B. Nakahara
Financial Resource Specialist
(808) 590-7320

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1679756563

State of Hawaii Department of Health's National Provider Identifier is 1679756563, issued on Dec 13, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Hauula, HI. The record was last updated on Jun 18, 2014.