Organization
THE SALVATION ARMY
Active
Other names
The Salvation Army - Family Intervention Svcs
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROXANNE E COSTA (EXECUTIVE DIRECTOR)
(808) 959-5855
Entity
Organization
Contact information
Practice address
105 HOKULANI STREET, HILO, HI 96720
(808) 896-0228
(808) 959-2301
Mailing address
P.O. BOX 5085, HILO, HI 96720-1085
(808) 959-5855
(808) 959-2301
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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