Healthcare Provider Details

I. General information

NPI: 1407321797
Provider Name (Legal Business Name): HAWAII HEALTH & HARM REDUCTION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2018
Last Update Date: 10/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

677 ALA MOANA BLVD STE 226
HONOLULU HI
96813-5416
US

IV. Provider business mailing address

677 ALA MOANA BLVD STE 226
HONOLULU HI
96813-5416
US

V. Phone/Fax

Practice location:
  • Phone: 808-521-2437
  • Fax: 808-521-1552
Mailing address:
  • Phone: 808-521-2437
  • Fax: 808-521-1552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. HEATHER LUSK
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 808-521-2437