Organization
MARIMED FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANE GANES (QA AND HR DIRECTOR)
(808) 380-9964
Entity
Organization
Contact information
Practice address
47-292 AHAOLELO RD, KANEOHE, HI 96744-4803
(808) 239-2939
Mailing address
45-021 LIKEKE PL, KANEOHE, HI 96744-2426
(808) 239-2939
(808) 397-3179
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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