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Organization

LOKAHI TREATMENT CENTERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMAL F. WASAN PHD, CSAC (CEO)
(808) 883-0922
Entity
Organization

Contact information

Practice address
68-1845 WAIKOLOA ROAD, WAIKOLOA HIGHLANDS SHOPPING CENTER SUITE 224B, WAIKOLOA, HI 96738
(808) 883-0922
(808) 883-1022
Mailing address
PO BOX 383401, WAIKOLOA, HI 96738-3401
(808) 883-0922
(808) 883-1022

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1427129196
WASAN NPI
HI
01
1548210347
BISSET NPI
HI
05
55787901
HI
05
56024401
HI
Enumeration date
12/13/2006
Last updated
07/21/2022
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