; NPI #1225603434

Contact Information

ALICIA R SCHILLEWAERT

15-1398 20TH AVE
KEAAU, HI 96749

Phone: 763-280-0514
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Community Based Residential Treatment Facility, Mental Illness	320800000X

Indicates primary specialty

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NPI Profile & details for

NPI Number	`1225603434`
Entity	Organization
Organization subpart ¹	Not specified
Enumeration date	05/21/2021
Last updated	05/21/2021 - About 5 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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Specialty

Community Based Residential Treatment Facility, Mental Illness

NPI Profile & details for

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