| Organization Name: | WAIANAE COAST COMMUNITY MENTAL HEALTH CENTER |
| NPI Number: | 1043362338 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDA ABUEL (FISCAL MANAGER) |
| Mailing Address: | 86-226 Farrington Hwy Waianae |
| State: | HI US |
| Postal Code: | 967923128 |
| Phone Number: | 8086964211 |
| Fax Number: | 8086965516 |
| NPI Enumeration Date: | 01/17/2007 |
| NPI Last Update Date: | 03/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |