Provider Demographics
NPI:1427100551
Name:THE INSTITUTE FOR FAMILY ENRICHMENT
Entity type:Organization
Organization Name:THE INSTITUTE FOR FAMILY ENRICHMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GAYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:KUTAKA
Authorized Official - Suffix:
Authorized Official - Credentials:PH D, APRN
Authorized Official - Phone:808-596-8433
Mailing Address - Street 1:615 PIIKOI ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-3116
Mailing Address - Country:US
Mailing Address - Phone:808-596-8433
Mailing Address - Fax:808-591-1017
Practice Address - Street 1:46-005 KAWA ST
Practice Address - Street 2:SUITE 206
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-3805
Practice Address - Country:US
Practice Address - Phone:808-235-0316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIW2034115401251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health