Provider Demographics
NPI:1184153397
Name:CENTRAL OAHU HOPE CENTER LLC
Entity type:Organization
Organization Name:CENTRAL OAHU HOPE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JALEE
Authorized Official - Middle Name:KATE
Authorized Official - Last Name:PALOMPO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:808-782-5756
Mailing Address - Street 1:PO BOX 893353
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-0353
Mailing Address - Country:US
Mailing Address - Phone:808-782-5756
Mailing Address - Fax:808-637-7197
Practice Address - Street 1:100 KAHELU AVE STE 210
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-3913
Practice Address - Country:US
Practice Address - Phone:808-782-5756
Practice Address - Fax:808-637-7197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-09
Last Update Date:2017-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI4127261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)