Provider Demographics
NPI: | 1962813097 |
---|---|
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: | EXECUTIVE DIRECTOR |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | PATTI |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BATES |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MSW |
Authorized Official - Phone: | 808-681-1434 |
Mailing Address - Street 1: | 91-1841 FORT WEAVER RD |
Mailing Address - Street 2: | |
Mailing Address - City: | EWA BEACH |
Mailing Address - State: | HI |
Mailing Address - Zip Code: | 96706-1909 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 808-596-8433 |
Mailing Address - Fax: | 808-591-1017 |
Practice Address - Street 1: | 91-1841 FORT WEAVER RD |
Practice Address - Street 2: | |
Practice Address - City: | EWA BEACH |
Practice Address - State: | HI |
Practice Address - Zip Code: | 96706-1909 |
Practice Address - Country: | US |
Practice Address - Phone: | 808-596-8433 |
Practice Address - Fax: | 808-591-1017 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2014-05-12 |
Last Update Date: | 2014-05-12 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 251S00000X | Agencies | Community/Behavioral Health | ||
No | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | Group - Multi-Specialty | |
No | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
No | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional | Group - Multi-Specialty |
No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Multi-Specialty | |
No | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
No | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | Clinical | Group - Multi-Specialty |
No | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | Clinical Child & Adolescent | Group - Multi-Specialty |
No | 103TM1800X | Behavioral Health & Social Service Providers | Psychologist | Intellectual & Developmental Disabilities | Group - Multi-Specialty |
No | 104100000X | Behavioral Health & Social Service Providers | Social Worker | Group - Multi-Specialty | |
No | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Multi-Specialty |
No | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Multi-Specialty | |
No | 251B00000X | Agencies | Case Management | ||
No | 252Y00000X | Agencies | Early Intervention Provider Agency |