Organization
OHANA BEHAVIORAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMO HENSON (OWNER)
(619) 823-9444
Entity
Organization
Contact information
Practice address
4221 E RAY RD APT 2083, PHOENIX, AZ 85044-0604
(619) 823-9444
Mailing address
4221 E RAY RD APT 2083, PHOENIX, AZ 85044-0604
(619) 823-9444
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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