Organization · Type 2 NPI

The Ohana Retreat LLC

Substance Abuse Rehabilitation Facility · Kailua Kona, HI

NPI number 1386236966 Active

Practice location

73-4617 Kaloko Halia Pl
Kailua Kona, HI 96740-8666

Call (808) 746-9003 Map

Mailing address

75-5915 Walua Rd
Kailua Kona, HI 96740-1375

Other practice locations

75-5915 Walua Rd, Kailua Kona, HI 96740-1375 · (877) 664-2622

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	None listed
Comprehensive Outpatient Rehabilitation Facility (CORF)	261QR0401X	None listed
Substance Use Disorder Rehabilitation Hospital Unit	276400000X	None listed
Substance Abuse Rehabilitation Facility Primary	324500000X	None listed

Substance Abuse 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.

Another provider at this address

The Ohana Retreat LLCSubstance Abuse Rehabilitation Facility Kailua Kona, HI NPI 1477151249

Other substance abuse rehabilitation facility providers in Kailua Kona

See all in Kailua Kona →

NPI record

NPI: 1386236966
Entity type: Organization (Type 2)
Issued: Feb 5, 2021
Last updated: Oct 16, 2023
Status: Active
Subpart: Yes of The Ohana Retreat LLC

Other names

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The Ohana Addiction Treatment Center · doing business as
The Ohana Addiction Treatment Center · doing business as

Authorized official

Mr. Elliott Smith
CEO
(877) 664-2622

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1386236966

The Ohana Retreat LLC's National Provider Identifier is 1386236966, issued on Feb 5, 2021. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Kailua Kona, HI. The record was last updated on Oct 16, 2023.