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NPI Profile for OLA KAI BEHAVIORAL HAWAII LLC in EWA BEACH, HI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health, Community |
364SP0812X | 89 | Certified Clinical Nurse Specialist |
| NPI Number | 1629698360 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/22/2020 | |
| Last updated | 04/22/2020 - About 6 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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OLA KAI BEHAVIORAL HAWAII, LLC