Provider First Line Business Practice Location Address:
3375 KOAPAKA ST STE I560
Provider Second Line Business Practice Location Address:
NATIONAL CENTER FOR PTSD, PACIFIC ISLANDS DIVISION
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96819-5202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-566-1931
Provider Business Practice Location Address Fax Number:
808-566-1885
Provider Enumeration Date:
01/05/2011