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KAHALA CLINIC INTENSIVE TREATMENT PROGRAM NPI 1306361241


NPI Information

NPI: 1306361241
Provider Name: KAHALA CLINIC INTENSIVE TREATMENT PROGRAM
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
4211 WAIALAE AVE STE 208
HONOLULU, HI
ZIP 96816
Phone: (808) 888-5228
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KAHALA CLINIC INTENSIVE TREATMENT PROGRAM is an adolescent and children mental health clinic center in Honolulu, HI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. KAHALA CLINIC INTENSIVE TREATMENT PROGRAM NPI is 1306361241. The provider is registered as an organization entity type.

The provider's business location address is:

4211 WAIALAE AVE STE 208
HONOLULU, HI
ZIP 96816-312
Phone: (808) 888-5228
Fax: (808) 732-6433

The provider's authorized official is Jason Richard Keifer .
The authorized official title is President and has the following contact phone number (808) 888-5228.

The enumeration date for this NPI number is 8/12/2017 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthGE-090-260-8896-01HAWAIIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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