Organization
MANA RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG STRUVE (CO-OWNER)
(480) 881-7058
Entity
Organization
Contact information
Practice address
1063 LOWER MAIN ST STE C211A213, WAILUKU, HI 96793-2038
(808) 867-9268
(808) 867-9268
Mailing address
1063 LOWER MAIN ST STE C211A213, WAILUKU, HI 96793-2038
(808) 867-9268
(808) 867-9268
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010080
—
HI
Enumeration date
08/21/2023
Last updated
02/01/2025
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