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Organization

MARIMED FOUNDATION FOR ISLAND HEALTH CARE TRAINING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MATTHEW ALAN CLAYBAUGH PH.D. (PRESIDENT CEO)
(808) 236-2288
Entity
Organization

Contact information

Practice address
45-021 LIKEKE PL, KANEOHE, HI 96744-2426
(808) 236-2288
(808) 235-1074
Mailing address
45-021 LIKEKE PL, KANEOHE, HI 96744-2426
(808) 236-2288
(808) 235-1074

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
HI

Other

Enumeration date
06/11/2007
Last updated
08/22/2020
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