Organization · NPI-2
Maui Mind Care LLC
Clinic/Center, Adult Mental Health · Kahului, HI
NPI number1255090924
StatusActive
Last updated in NPPESDec 9, 2021
Details
- NPI
- 1255090924
- Entity type
- Organization (NPI-2)
- Legal business name
- Maui Mind Care LLC
- Organization subpart
- No
- Enumeration date
- Dec 9, 2021
- Certification date
- Dec 9, 2021
- Last updated
- Dec 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
Practice location
33 Lono Ave Ste 480Kahului, HI 96732-1608
Phone 808-379-3798
Mailing address
Po Box 1150Kula, HI 96790-1150
Phone 808-379-3798
Authorized official
Brian Teliho
Medical Director
8083793798
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