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NPI 1942972476 · live from the CMS NPI Registry

Amanda Youth LLC

Social Worker, Clinical in Aiea, HI. National Provider Identifier 1942972476, active.

NPI record

NPI1942972476 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location99-080 Kauhale St Ste C20, Aiea, HI 96701
Practice phone808-707-7556
EnumeratedOctober 4, 2021
Last updatedAugust 25, 2022
Authorized officialAmanda Youth, Manager

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.