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1396404877
BEACON OF LASTING CHANGE, LLC
HONOLULU, HI
NPI
1396404877
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Entity Type
Organization
Authorized Contact
MAITA MARKS
Manager
808-600-1132
Organization Subpart ?
No
Primary Taxonomy
261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date
2021-12-13
Last Update Date
2021-12-13
Business Address
BEACON OF LASTING CHANGE, LLC
438 HOBRON LN STE 311
HONOLULU, HI 96815-1229
Phone number: 808-600-1132
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Mailing Address
BEACON OF LASTING CHANGE, LLC
5984 GANNET AVE
EWA BEACH, HI 96706-3239
Phone number: 808-600-1132
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