Organization
BREAKING BOUNDARIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WANDA M CURRY CSAC (PRESIDENT/CEO)
(808) 265-0713
Entity
Organization
Contact information
Practice address
84-1170 FARRINGTON HWY, A2-BFA, WAIANAE, HI 96792-2060
(808) 695-0444
(808) 695-0555
Mailing address
338 KAMOKILA BLVD., SUITE 206, KAPOLEI, HI 96707
(808) 312-1530
(808) 744-6793
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/04/2009
Last updated
02/21/2014
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