Organization
THE OHANA RETREAT LLC
Active
Other names
The Ohana Addiction Treatment Center
Organization subpart
No
Provider details
NPI number
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
(877) 664-2622
Mailing address
75-5915 WALUA RD, KAILUA KONA, HI 96740-1375
(877) 664-2622
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
10/16/2023
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