Organization
MANA'OLANA RECOVERY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA MEAD (COO)
(808) 783-8166
Entity
Organization
Contact information
Practice address
4218 BOUGAINVILLE AVE APT D, KAPOLEI, HI 96707-2142
(808) 783-8166
Mailing address
PO BOX 75443, KAPOLEI, HI 96707-0443
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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