HAWAII ISLAND RECOVERY LLC NPI 1952618357

NPI Information

HAWAII ISLAND RECOVERY, LLC is a substance abuse rehabilitation facility in Kailua Kona, HI. The provider is 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. HAWAII ISLAND RECOVERY, LLC NPI is 1952618357. The provider is registered as an organization entity type.

The provider's business location address is:

75-170 HUALALAI RD
SUITE C311A
KAILUA KONA, HI
ZIP 96740-779
Phone: (866) 515-5032
Fax: (866) 515-5042

The provider's authorized official is John A. Hibscher .
The authorized official title is Owner/clinical Director and has the following contact phone number (808) 323-2607.

The CLIA number assigned to this NPI record is 12D2145292 - other - addiction residential with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2010 and was last updated on 8/24/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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