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Integrated Mental Health Service INC

Psychologist in Kihei, HI. Organization (NPI-2).

NPI number1023246790
StatusActive
Last updated in NPPESSep 18, 2023

Details

NPI
1023246790
Entity type
Organization (NPI-2)
Legal business name
Integrated Mental Health Service INC
Organization subpart
No
Enumeration date
Jul 1, 2009
Certification date
Sep 18, 2023
Last updated
Sep 18, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X Psychologist––Yes

Practice location

1847 S Kihei Rd Ste 205
Kihei, HI 96753-7939

Phone 808-280-2067

Mailing address

Po Box 958
Kihei, HI 96753-0958

Phone 808-280-2067

Other practice locations

1245 S Oakland Ave
Pasadena, CA 91106-4324

Phone 808-280-2067

Authorized official

Cheri Ewing
Owner
8082802067

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