Healthcare Provider Details

I. General information

NPI: 1073883997
Provider Name (Legal Business Name): COMMUNITY EMPOWERMENT RESOURCES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2012
Last Update Date: 01/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 UNIVERSITY AVE STE 411
HONOLULU HI
96826-1508
US

IV. Provider business mailing address

1110 UNIVERSITY AVE STE 411
HONOLULU HI
96826-1508
US

V. Phone/Fax

Practice location:
  • Phone: 808-942-7800
  • Fax:
Mailing address:
  • Phone: 808-942-7800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. ALIMAN SEARS
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 808-942-7800