Organization
KEONA REENTRY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE UEMOTO-JOSEPH (OWNER)
(808) 840-7939
Entity
Organization
Contact information
Practice address
412 CALIFORNIA AVE, WAHIAWA, HI 96786-1951
(808) 840-7939
Mailing address
91-1629 KAUKOLU ST, EWA BEACH, HI 96706-4967
(808) 238-9427
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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