Courageous Minds LLC
Clinic/Center, Adult Mental Health in Kihei, HI. Organization (NPI-2).
NPI number1437838125
StatusActive
Last updated in NPPESJul 12, 2023
Details
- NPI
- 1437838125
- Entity type
- Organization (NPI-2)
- Legal business name
- Courageous Minds LLC
- Organization subpart
- No
- Enumeration date
- Jul 12, 2023
- Certification date
- Jul 12, 2023
- Last updated
- Jul 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
Practice location
160 Keonekai Rd Apt 27-206Kihei, HI 96753-7145
Phone 808-666-1442 · Fax 808-666-1442
Mailing address
160 Keonekai Rd Apt 27-206Kihei, HI 96753-7145
Phone 808-666-1442 · Fax 808-666-1442
Authorized official
Roger Johnston
Owner
8086661442
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