Organization
OLA KAI BEHAVIORAL HAWAII, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY RENEA APRN-RX, PMHNP-BC (OWNER)
(808) 214-9433
Entity
Organization
Contact information
Practice address
5921 GANNET AVE, EWA BEACH, HI 96706-3256
(808) 214-9433
Mailing address
5921 GANNET AVE, EWA BEACH, HI 96706-3256
(808) 214-9433
Taxonomy
Speciality
Code
Description
License number
State
364SP0812X
Community Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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