Provider First Line Business Practice Location Address:
3 3212 KUHIO HIGHWAY
Provider Second Line Business Practice Location Address:
KAUAI COMMUNITY MENTAL HEALTH CENTER
Provider Business Practice Location Address City Name:
LIHUE
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96766-1142
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-274-3190
Provider Business Practice Location Address Fax Number:
808-274-3194
Provider Enumeration Date:
02/21/2007