Provider Demographics
NPI:1851540132
Name:THE INSTITUTE FOR FAMILY ENRICHMENT
Entity Type:Organization
Organization Name:THE INSTITUTE FOR FAMILY ENRICHMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH PROVIDER
Authorized Official - Prefix:MR
Authorized Official - First Name:JON
Authorized Official - Middle Name:M
Authorized Official - Last Name:NAGAMINE
Authorized Official - Suffix:
Authorized Official - Credentials:MSCP
Authorized Official - Phone:808-479-4327
Mailing Address - Street 1:91-452 PAPIPI DR
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-2317
Mailing Address - Country:US
Mailing Address - Phone:808-479-4327
Mailing Address - Fax:
Practice Address - Street 1:615 PIIKOI ST
Practice Address - Street 2:#105
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3116
Practice Address - Country:US
Practice Address - Phone:808-596-8433
Practice Address - Fax:808-591-1017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-11
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIH00560254251B00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management