NPI 1306904461

Bobby Benson Center

Organisation Children's Substance Abuse Rehabilitation Facility Kahuku, HI

Practice location

Address: 56-660 Kamehameha Hwy, Kahuku, HI 96731-2210
Phone: (808) 293-7555
Fax: (808) 293-7196

Authorised official

Name: Jeffrie Wagner
Title: Executive Director
Phone: (808) 293-7555

Registered specialties

Children's Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 3245S0500X Licence 53-STF (HI)

Other Substance Abuse Rehabilitation Facility providers in Hawaii →

Registry record

NPI: 1306904461
Entity type: Organization
NPI issued: 4 Dec 2006
Record last updated: 22 Aug 2020

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.