National Provider Identifier Database

MANA RECOVERY LLC
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

MANA RECOVERY LLC
1063 LOWER MAIN ST STE C211A213
WAILUKU, HI96793-2038
Phone: 808-867-9268
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X
Community/Behavioral Health 251S00000X

* Indicates primary specialty

NPI Profile & details for MANA RECOVERY LLC

NPI Number 1588394472
Legal business name
LBN
MANA RECOVERY LLC
Authorized official OWEN CAMPBELL - (CEO/OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/14/2022
Last updated 06/13/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • HI Medicaid: 8042992

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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