Healthcare Provider Details

I. General information

NPI: 1235250762
Provider Name (Legal Business Name): THE INSTITUTE FOR HUMAN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

546 KAAAHI ST
HONOLULU HI
96817-4630
US

IV. Provider business mailing address

546 KAAAHI ST
HONOLULU HI
96817-4630
US

V. Phone/Fax

Practice location:
  • Phone: 808-447-2829
  • Fax: 808-845-7190
Mailing address:
  • Phone: 808-447-2829
  • Fax: 808-845-7190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License NumberW1032867401
License Number StateHI

VIII. Authorized Official

Name: MRS. CONNIE MITCHELL
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 808-447-2829