Organization
MARIMED FOUNDATION FOR ISLAND HEALTH CARE TRAINING
Active
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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