Basic Information
| Provider Information | |||||||||
| NPI: | 1265185185 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | COMMUNITY EMPOWERMENT RESOURCES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1110 UNIVERSITY AVE STE 411 | ||||||||
| Address2: | |||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968261508 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8089427884 | ||||||||
| FaxNumber: | 8089427885 | ||||||||
| Practice Location | |||||||||
| Address1: | 1110 UNIVERSITY AVE STE 411 | ||||||||
| Address2: | |||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968261508 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8089427884 | ||||||||
| FaxNumber: | 8089427885 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/31/2022 | ||||||||
| LastUpdateDate: | 01/31/2022 | ||||||||
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| AuthorizedOfficialLastName: | SEARS | ||||||||
| AuthorizedOfficialFirstName: | ALIMAN | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 8089427884 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| NPICertificationDate: | 01/31/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | Y | Agencies | Community/Behavioral Health |
No ID Information.