NPI 1104192970

Marimed Foundation

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Kaneohe, HI

Practice location

Address: 47-292 Ahaolelo Rd, Kaneohe, HI 96744-4803
Phone: (808) 239-2939
Mailing address: 45-021 Likeke Pl, Kaneohe, HI 96744-2426

Authorised official

Name: Dane Ganes
Title: Qa and Hr Director
Phone: (808) 380-9964

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Hawaii →

Registry record

NPI: 1104192970
Entity type: Organization
NPI issued: 27 Mar 2012
Record last updated: 27 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.