Organization · NPI-2
Maui Mental Health LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) · Kihei, HI
NPI number1487403226
StatusActive
Last updated in NPPESMay 14, 2024
Details
- NPI
- 1487403226
- Entity type
- Organization (NPI-2)
- Legal business name
- Maui Mental Health LLC
- Organization subpart
- No
- Enumeration date
- May 14, 2024
- Certification date
- May 14, 2024
- Last updated
- May 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
14 Akeu PlKihei, HI 96753-8291
Phone 253-224-3422
Mailing address
14 Akeu PlKihei, HI 96753-8291
Phone 253-224-3422
Authorized official
Audrey Marie Fraychineaud
Sole Member
2532243422
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