Provider Demographics
NPI:1619325396
Name:FAMILY PROGRAMS HAWAII
Entity Type:Organization
Organization Name:FAMILY PROGRAMS HAWAII
Other - Org Name:FAMILY STRENGTHENING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:KUBOYAMA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:808-521-9531
Mailing Address - Street 1:250 VINEYARD ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2445
Mailing Address - Country:US
Mailing Address - Phone:808-521-9531
Mailing Address - Fax:808-533-1018
Practice Address - Street 1:250 VINEYARD ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2445
Practice Address - Country:US
Practice Address - Phone:808-521-9531
Practice Address - Fax:808-533-1018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-02
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI3175251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health