Provider Demographics
NPI:1346559754
Name:GALLER RIMM BEHAVIORAL HEALTH SERVICES
Entity Type:Organization
Organization Name:GALLER RIMM BEHAVIORAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GABRIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLER-RIMM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-298-1165
Mailing Address - Street 1:324 LILIUOKALANI ST
Mailing Address - Street 2:
Mailing Address - City:MAKAWAO
Mailing Address - State:HI
Mailing Address - Zip Code:96768-8633
Mailing Address - Country:US
Mailing Address - Phone:808-298-1165
Mailing Address - Fax:808-572-4500
Practice Address - Street 1:1043 MAKAWAO AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:MAKAWAO
Practice Address - State:HI
Practice Address - Zip Code:96768-9465
Practice Address - Country:US
Practice Address - Phone:808-572-4500
Practice Address - Fax:808-572-4500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-03
Last Update Date:2010-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD123122080P0006X
HIMD122432084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty
No2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral PediatricsGroup - Multi-Specialty