Provider Demographics
NPI: | 1225492051 |
---|---|
Name: | HAWAII INTERNATIONAL CHILD PLACEMENT & FAMILY SERVICES INC. |
Entity type: | Organization |
Organization Name: | HAWAII INTERNATIONAL CHILD PLACEMENT & FAMILY SERVICES INC. |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | EXECUTIVE DIRECTOR/CEO |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | KRISTINE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | ALTWIES |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MA |
Authorized Official - Phone: | 808-589-2367 |
Mailing Address - Street 1: | 200 N VINEYARD BLVD |
Mailing Address - Street 2: | 330 |
Mailing Address - City: | HONOLULU |
Mailing Address - State: | HI |
Mailing Address - Zip Code: | 96817-3950 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 808-589-2367 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 200 N VINEYARD BLVD |
Practice Address - Street 2: | 330 |
Practice Address - City: | HONOLULU |
Practice Address - State: | HI |
Practice Address - Zip Code: | 96817-3950 |
Practice Address - Country: | US |
Practice Address - Phone: | 808-589-2367 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2016-04-07 |
Last Update Date: | 2016-04-07 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | Group - Single Specialty | |
No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Single Specialty |
No | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional | Group - Single Specialty |
No | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | Group - Single Specialty | |
No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Single Specialty | |
No | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | Counseling | Group - Single Specialty |
No | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | Clinical Child & Adolescent | Group - Single Specialty |
No | 103TF0000X | Behavioral Health & Social Service Providers | Psychologist | Family | Group - Single Specialty |
No | 103TH0100X | Behavioral Health & Social Service Providers | Psychologist | Health Service | Group - Single Specialty |
No | 103TM1800X | Behavioral Health & Social Service Providers | Psychologist | Intellectual & Developmental Disabilities | Group - Single Specialty |
No | 104100000X | Behavioral Health & Social Service Providers | Social Worker | Group - Single Specialty | |
No | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Single Specialty |
No | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Single Specialty |