Provider Demographics
NPI:1992169098
Name:MANA PSYCHOLOGICAL SERVICES CORP
Entity type:Organization
Organization Name:MANA PSYCHOLOGICAL SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CRISTIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:CALEFFI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-258-7271
Mailing Address - Street 1:1600 KAPIOLANI BLVD STE 524
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-3805
Mailing Address - Country:US
Mailing Address - Phone:808-258-7271
Mailing Address - Fax:
Practice Address - Street 1:1600 KAPIOLANI BLVD STE 524
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3805
Practice Address - Country:US
Practice Address - Phone:808-258-7271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-05
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty