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NPI Code Detail

MEDICARE: CHILD AND FAMILY SERVICE

MEDICARE: CHILD AND FAMILY SERVICE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency
2320600000XIntellectual and/or Developmental Disabilities Residential Treatment Facility
3320800000XMental Illness Community Based Residential Treatment Facility
4320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
5322D00000XEmotionally Disturbed Childrens' Residential Treatment Facility
6385H00000XRespite Care
7253Z00000XIn Home Supportive Care AgencyHI
8251B00000XCase Management Agency

General Provider Information

NPI Number : 1740318278
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILD AND FAMILY SERVICE
Provider Business Mailing Address
First Line : 91-1841 FORT WEAVER RD
Second Line :
City : EWA BEACH
State : HI
Zip : 96706-1909
Country : US
Telephone Number : 808-681-3500
Fax Number : 808-681-5280
Provider Business Practice Location Address
First Line : 91-1841 FORT WEAVER RD
Second Line :
City : EWA BEACH
State : HI
Zip : 96706-1909
Country : US
Telephone Number : 808-681-3500
Fax Number : 808-681-5280
Authorized Official
Title or Position : PRESIDENT & CHIEF EXECUTIVE OFFICER
Name : MR. HOWARD S GARVAL
Credential :
Telephone Number : 808-681-1418
Provider Enumeration Date : 02/28/2007
Last Update Date : 05/08/2014

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Directions to “CHILD AND FAMILY SERVICE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.