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Organization

HO'OMAKA KOU OLA HOU

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHANELLE PURDY (EXECUTIVE DIRECTOR)
(808) 429-9766
Entity
Organization

Contact information

Practice address
1055 ALOHIKEA ST UNIT 1216, KAPOLEI, HI 96707-4686
(808) 429-9766
Mailing address
1055 ALOHIKEA ST UNIT 1216, KAPOLEI, HI 96707-4686
(808) 429-9766

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center

Other

Enumeration date
08/26/2022
Last updated
08/26/2022
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