Organization
MANA RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OWEN JAMES CAMPBELL (CEO/OWNER)
(516) 474-1951
Entity
Organization
Contact information
Practice address
1063 LOWER MAIN ST STE C211A213, WAILUKU, HI 96793-2038
(808) 867-9268
Mailing address
PO BOX 736, HAIKU, HI 96708-0736
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8042992
—
HI
Enumeration date
06/14/2022
Last updated
06/13/2023
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