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Bannan Enterprise Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Haleiwa, Hawaii
NPI 1578136586

Bannan Enterprise Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Honolulu, HI and is specialized in Mental Health (Including Community Mental Health Center). Bannan Enterprise Llc practices in Haleiwa, HI. The NPI Number for Bannan Enterprise Llc is 1578136586 and holds a License No. (Hawaii).

The current practice location address for Bannan Enterprise Llc is 59-777 Pupukea Rd, Haleiwa, HI and can be reached out via phone at 808-388-4974.

Location: 59-777 Pupukea Rd, Haleiwa, HI, 96813-1732
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578136586
Provider Name
Bannan Enterprise Llc
Credential
Provider Entity Type
Organization
Address
59-777 Pupukea Rd, Haleiwa, HI, 96813-1732
Phone Number
808-388-4974
Fax Number
Provider Enumeration Date
07/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
59-777 Pupukea Rd
City
Haleiwa
State
Hawaii
Zip
96712-9560
Phone Number
808-388-4974
Fax Number
person
Provider Business Mailing Address Details
Address
59-777 Pupukea Rd
City
Haleiwa
State
Hawaii
Zip
96712-9560
Phone Number
808-388-4974
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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