Organization
THE OHANA RETREAT LLC
Active
Parent organization
THE OHANA RETREAT LLC
Other names
The Ohana Addiction Treatment Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE OHANA RETREAT LLC
Authorized official
MR. ELLIOTT SMITH (CEO)
(877) 664-2622
Entity
Organization
Contact information
Practice address
73-4617 KALOKO HALIA PL, KAILUA KONA, HI 96740-8666
(808) 746-9003
Mailing address
75-5915 WALUA RD, KAILUA KONA, HI 96740-1375
(877) 664-2622
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/05/2021
Last updated
10/16/2023
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