Provider Demographics
NPI:1184760985
Name:COMPREHENSIVE HEALTH AND ATTITUDE MANAGEMENT PROGRAMS INC
Entity type:Organization
Organization Name:COMPREHENSIVE HEALTH AND ATTITUDE MANAGEMENT PROGRAMS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:MR
Authorized Official - First Name:CRISTIANE
Authorized Official - Middle Name:S
Authorized Official - Last Name:CALEFFI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-258-7271
Mailing Address - Street 1:173 SOUTH KUKUI STREET
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813
Mailing Address - Country:US
Mailing Address - Phone:808-426-4515
Mailing Address - Fax:808-426-4519
Practice Address - Street 1:173 SOUTH KUKUI STREET
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813
Practice Address - Country:US
Practice Address - Phone:808-426-4515
Practice Address - Fax:808-426-4519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIE02564261QM2800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI00C0212144OtherHMSA CCS
HI00C0212146OtherHMSA
HI54447001Medicaid