Provider Demographics
NPI:1811402027
Name:EAST HAWAII SOMATIC HEALING, INC.
Entity type:Organization
Organization Name:EAST HAWAII SOMATIC HEALING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:BLINN
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHD
Authorized Official - Phone:808-498-5644
Mailing Address - Street 1:101 AUPUNI ST STE 118
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-4260
Mailing Address - Country:US
Mailing Address - Phone:808-961-9200
Mailing Address - Fax:808-961-9200
Practice Address - Street 1:101 AUPUNI ST STE 118
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-4260
Practice Address - Country:US
Practice Address - Phone:808-961-9200
Practice Address - Fax:808-961-9200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-11
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)