| NPI | 1013350099 |
|---|---|
| Former Legal Business Name | KE ALA PONO RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | GERALD JAMES MCKENNA CEO/Medical Director 808-246-0663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: HI MD6041) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: HI MD6041) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2015-09-02 |