Organization
TRANSFORMATIONAL LIVING CENTERS
Active
Other names
Transformational Living Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA MARIE STURGIS PH.D. (OWNER)
(808) 988-6168
Entity
Organization
Contact information
Practice address
2851 E MANOA RD, SUITE 1-203, HONOLULU, HI 96822-1858
(808) 988-6168
(808) 955-8155
Mailing address
2851 E MANOA RD, SUITE 1-203, HONOLULU, HI 96822-1858
(808) 988-6168
(808) 955-8155
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY-375
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000032235
HMSA
HI
01
—
00A0032233
HMSA
HI
05
—
25083201
—
HI
Enumeration date
06/11/2007
Last updated
07/26/2013
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