Organization Name: | THE ARC IN HAWAII |
NPI Number: | 1194854844 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | COLLEEN KOJIMA (EXECUTIVE DIRECTOR) |
Mailing Address: | 91-824 Hanakahi St # B Ewa Beach |
State: | HI US |
Postal Code: | 967062914 |
Phone Number: | 8087377995 |
Fax Number: | 8087329531 |
NPI Enumeration Date: | 03/05/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320900000X |
License Number: | IMR 31 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |