Whalio Doctors

NPI 1750648283

Elim Pacific Ministries

Organisation Substance Abuse Rehabilitation Facility Hagatna, GU

Practice location

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

Authorised official

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

Registered specialties (4)

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 66--0099 (GU)
Case Management Agency
Agencies Taxonomy 251B00000X Licence D-14051 (GU)
Developmentally Disabled Services Day Training Agency
Agencies Taxonomy 251C00000X Licence D-14051 (GU)
Non-emergency Medical Transport (VAN)
Transportation Services Taxonomy 343900000X Licence 1228019153 (GU)

Registry record

NPI
1750648283
Entity type
Organization
NPI issued
23 Apr 2012
Record last updated
23 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.