NPI 1518225531

Small Kine Polynesian

Organisation Mental Illness Community Based Residential Treatment Facility Laie, HI

Practice location

Address: 55-025 Lanihuli St, Laie, HI 96762-1225
Phone: (808) 457-9897

Authorised official

Name: Joe Wilson
Title: Social Worker
Phone: (808) 457-9897

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Hawaii →

Registry record

NPI: 1518225531
Entity type: Organization
NPI issued: 27 Apr 2012
Record last updated: 27 Apr 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.