Organization
NOHOANA WAY OF LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE VILLANTI LSW CSAC (THERAPIST)
(808) 870-9886
Entity
Organization
Contact information
Practice address
1135 MAKAWAO AVENUE PMB 340, MAKAWAO, HI 96768
(808) 870-9886
Mailing address
1135 MAKAWAO AVE, MAKAWAO, HI 96768-7403
(808) 870-9886
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
LCSW3028
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000253245
HMSA
HI
Enumeration date
08/15/2008
Last updated
08/15/2008
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