Organization Name: | PO'AILANI, INC. |
NPI Number: | 1598057275 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANET R. PAREDES (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 970 N Kalaheo Ave Ste A102 Kailua |
State: | HI US |
Postal Code: | 967341868 |
Phone Number: | 8082633500 |
Fax Number: | 8082633508 |
NPI Enumeration Date: | 05/12/2011 |
NPI Last Update Date: | 05/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | 37 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |