Organization
NOVA LUNA, INC.
Active
Other names
Ai' Pono Maui
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY MEYER-UYEHARA FACHE (CEO)
(808) 386-5849
Entity
Organization
Contact information
Practice address
470 LILIHUA PL, WAILUKU, HI 96793-1313
(808) 249-9999
Mailing address
16-643 KIPIMANA STREET, SUITE 20 NOVA LUNA INC C/O MICROIMAGING, KEAAU, HI 96749
(808) 966-7453
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
98-STF
HI
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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