Organization
BENCHMARK BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN BLOTZKE (PROGRAM DIRECTOR)
(808) 454-1411
Entity
Organization
Contact information
Practice address
2501 WAIMANO HOME RD, PEARL CITY, HI 96782-1478
(808) 454-1411
Mailing address
2501 WAIMANO HOME RD, P. O. BOX 1196, PEARL CITY, HI 96782-1478
(808) 454-1411
(808) 454-0659
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/09/2009
Last updated
04/27/2017
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