Provider Demographics
NPI:1770624074
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:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CRISTIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:CALEFFI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-258-7271
Mailing Address - Street 1:270 WAIEHU BEACH RD
Mailing Address - Street 2:115
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-1472
Mailing Address - Country:US
Mailing Address - Phone:808-249-8784
Mailing Address - Fax:808-249-0536
Practice Address - Street 1:270 WAIEHU BEACH RD
Practice Address - Street 2:115
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-1472
Practice Address - Country:US
Practice Address - Phone:808-249-8784
Practice Address - Fax:808-249-0536
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMPREHENSIVE HEALTH AND ATTITUDE MANAGEMENT PROGRAMS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-09
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIE06063261QM2800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI54447002Medicaid
HIA2121402OtherPROVIDER NUMBER