Provider First Line Business Practice Location Address:
234 WAIANUENUE AVENUE SUITE 215
Provider Second Line Business Practice Location Address:
HAWAII BEHAVIORAL HEALTH
Provider Business Practice Location Address City Name:
HILO
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96720
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-935-6109
Provider Business Practice Location Address Fax Number:
808-934-8318
Provider Enumeration Date:
06/30/2015