Organization
E OLA PONO BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODDY MANUWAI (CLINICAL DIRECTOR)
(808) 222-0093
Entity
Organization
Contact information
Practice address
122 ONEAWA ST STE 203, KAILUA, HI 96734-2524
(808) 286-1949
Mailing address
122 ONEAWA ST STE 203, KAILUA, HI 96734-2524
(808) 286-1949
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
159
HI
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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