Whalio Doctors

NPI 1740570795

Elim Pacific Ministries

Organisation Substance Abuse Rehabilitation Facility Hagatna, GU

Practice location

Address
556 E Marine Corps Dr Suite B, Hagatna, GU 96910-5186
Phone
(671) 646-4601
Fax
(671) 464-5601

Authorised official

Name
Robert J Zimmerman
Title
Executive Director
Phone
(671) 646-4601

Registered specialties (3)

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 100059 (GU)
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X Licence GBHWC2015-SAGAN MAMI (GU)
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X Licence DVR-READY2WORK (GU)

Registry record

NPI
1740570795
Entity type
Organization
NPI issued
12 Apr 2011
Record last updated
7 Jan 2015

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.