Organization Name: | WINDS OF CHANGE PSYCHOLOGICAL SERVICES |
NPI Number: | 1073656021 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER LYNN ADAMS (CEO) |
Mailing Address: | 2-2514 Kaumualii Hwy Ste 104 Kalaheo |
State: | HI US |
Postal Code: | 967418303 |
Phone Number: | 8083328370 |
Fax Number: | 8083326352 |
NPI Enumeration Date: | 02/15/2007 |
NPI Last Update Date: | 03/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 971 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |