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Amphora LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) in Honolulu, HI. Organization (NPI-2).

NPI number1902769607
StatusActive
Last updated in NPPESDec 9, 2025

Details

NPI
1902769607
Entity type
Organization (NPI-2)
Legal business name
Amphora LLC
Organization subpart
No
Enumeration date
Dec 9, 2025
Certification date
Dec 8, 2025
Last updated
Dec 9, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

4236 Carnation Pl
Honolulu, HI 96816-3905

Phone 831-359-9814

Mailing address

4236 Carnation Pl
Honolulu, HI 96816-3905

Phone 831-359-9814

Authorized official

Govind Rae
Ceo
8313599814

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