A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community Based Residential Treatment Facility, Mental Illness |
320800000X |
| NPI Number | 1922151026 |
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| LBN Legal business name | PO AILANI | ||||||||
| Authorized official | JANET PAREDES - (CEO) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 01/19/2007 | ||||||||
| Last updated | 10/19/2018 - About 8 years ago | ||||||||
| Identifiers |
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PO AILANI
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| GABRIELA ORTIZ-OMPHROY MD LLC 98-1079 MOANALUA RD STE 680 AIEA, HI |
| SUSAN J LICOAN, PSYD 39 3301 MILO PLACE ‘O‘OKALA, HI |
| KATHERINE D PERCY, DO 1 JARRETT WHITE ROAD 1 JARRETT WHITE ROAD, HI |
| ANDREA CLAUDINE F AFABLE, M.D. UNIVERSITY OF HAWAII FAMILY MEDICINE RESIDENCY PROGRAM AEIA, HI |
| STEPHANIE KRYSTEL D CANICULA, M.D. 98-1005 MOANALUA ROAD AEIA, HI |