Provider Demographics
NPI:1053637413
Name:HOPE, HELP AND HEALING KAUAI
Entity Type:Organization
Organization Name:HOPE, HELP AND HEALING KAUAI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED SUBSTANCE ABUSE COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MALIA
Authorized Official - Middle Name:ROSA
Authorized Official - Last Name:TOKIOKA
Authorized Official - Suffix:
Authorized Official - Credentials:CSAC
Authorized Official - Phone:808-245-3740
Mailing Address - Street 1:PO BOX 3129
Mailing Address - Street 2:
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-6129
Mailing Address - Country:US
Mailing Address - Phone:808-245-3740
Mailing Address - Fax:808-245-3750
Practice Address - Street 1:3136 A ELUA ST
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-1379
Practice Address - Country:US
Practice Address - Phone:808-245-3740
Practice Address - Fax:808-245-3750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-10
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1284-06101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty