Provider Demographics
NPI:1205523057
Name:HAWAII BEHAVIORAL HEALTH & ADDICTION SERVICES LLC.
Entity type:Organization
Organization Name:HAWAII BEHAVIORAL HEALTH & ADDICTION SERVICES LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:YAMAOKA
Authorized Official - Suffix:
Authorized Official - Credentials:BA, CSAC, ICADC,
Authorized Official - Phone:808-320-8100
Mailing Address - Street 1:LIHUE PLANTATION BUILDING 2970 KELE STREET SUITE #222
Mailing Address - Street 2:
Mailing Address - City:LIHUE HAWAII 96766
Mailing Address - State:HI
Mailing Address - Zip Code:96766-2970
Mailing Address - Country:US
Mailing Address - Phone:808-320-8100
Mailing Address - Fax:808-320-8199
Practice Address - Street 1:LIHUE PLANTATION BUILDING 2970 KELE ST. SUITE #222
Practice Address - Street 2:
Practice Address - City:LIHUE HAWAII 96766
Practice Address - State:HI
Practice Address - Zip Code:96766-9676
Practice Address - Country:US
Practice Address - Phone:808-320-8100
Practice Address - Fax:808-320-8199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-21
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder