Provider Demographics
NPI:1467166405
Name:HEALTH OF OHANA MIGRATION EVALUATION SERVICES (HOME), LLC
Entity Type:Organization
Organization Name:HEALTH OF OHANA MIGRATION EVALUATION SERVICES (HOME), LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MATTHIAS
Authorized Official - Middle Name:
Authorized Official - Last Name:DARRICARRERE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:808-683-9678
Mailing Address - Street 1:1600 KAPIOLANI BLVD STE 1306
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-3805
Mailing Address - Country:US
Mailing Address - Phone:808-683-9678
Mailing Address - Fax:
Practice Address - Street 1:1600 KAPIOLANI BLVD STE 1306
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3805
Practice Address - Country:US
Practice Address - Phone:808-683-9678
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-12
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health