Provider Demographics
NPI:1689199515
Name:INSTITUTE FOR GREATER GOOD LLC
Entity Type:Organization
Organization Name:INSTITUTE FOR GREATER GOOD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGIT
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDE-KERBACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-443-2686
Mailing Address - Street 1:PO BOX 2964
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96802-2964
Mailing Address - Country:US
Mailing Address - Phone:877-443-2686
Mailing Address - Fax:877-349-9124
Practice Address - Street 1:925 BETHEL ST STE 306
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-4307
Practice Address - Country:US
Practice Address - Phone:877-443-2686
Practice Address - Fax:877-349-9124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-11
Last Update Date:2017-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1041C0700X
251B00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No251B00000XAgenciesCase Management