Provider Demographics
NPI:1154553972
Name:COALITION FOR A DRUG-FREE HAWAII
Entity type:Organization
Organization Name:COALITION FOR A DRUG-FREE HAWAII
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHINN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-545-3228
Mailing Address - Street 1:1130 N NIMITZ HWY RM A259
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-5783
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:808-545-2686
Practice Address - Street 1:1130 N NIMITZ HWY RM A259
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-5783
Practice Address - Country:US
Practice Address - Phone:808-545-3228
Practice Address - Fax:808-545-2686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-12
Last Update Date:2009-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI20388980-01251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health