DIANE LOGAN LLC

KAILUA KONA, HI
NPI1265068233
Entity TypeOrganization
Authorized ContactDIANE E LOGAN
Owner
808-437-7447
Organization Subpart ?No
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Additional Taxonomies261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder
Enumeration Date2020-03-20
Last Update Date2021-10-06
Business Address
DIANE LOGAN LLC
75-127 LUNAPULE RD STE 15B
KAILUA KONA, HI 96740-2119
Phone number: 808-437-7447
Mailing Address
DIANE LOGAN LLC
PO BOX 5488
KAILUA KONA, HI 96745-5488
Phone number: 808-437-7447