BOBBY BENSON CENTER NPI 1306904461

NPI Information

  • NPI: 1306904461
  • Provider Name: BOBBY BENSON CENTER
  • Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
  • Specialization: Substance Abuse Treatment, Children
  • Entity Type: Organization
  • Address: 56-660 KAMEHAMEHA HWY
    KAHUKU, HI
    ZIP 96731
  • Phone: (808) 293-7555

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NPI Details

BOBBY BENSON CENTER is a substance abuse treatment and children substance abuse rehabilitation facility in Kahuku, HI. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. BOBBY BENSON CENTER NPI is 1306904461. The provider is registered as an organization entity type.

The provider's business location address is:

56-660 KAMEHAMEHA HWY
KAHUKU, HI
ZIP 96731-210
Phone: (808) 293-7555
Fax: (808) 293-7196

The provider's authorized official is Jeffrie Wagner .
The authorized official title is Executive Director and has the following contact phone number (808) 293-7555.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 8/22/2020.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children53-STFHAWAIIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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