OrganizationActive
Kahala Clinic Intensive Treatment Program
NPI 1306361241 · Adolescent and Children Mental Health Clinic/Center · Honolulu, HI
Provider details
- NPI number
- 1306361241
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jason Keifer, President(808) 888-5228
- License
- GE-090-260-8896-01 (HI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4211 Waialae Ave Ste 208
Honolulu, HI 96816-5312
Phone: (808) 888-5228
Fax: (808) 732-6433
Approximate (ZIP-level) locationGet directions
Mailing address
4211 Waialae Ave Ste 208
Honolulu, HI 96816-5312
Registry dates
- Enumerated
- 2017-08-12
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.