Marimed Foundation

NPI #1104192970 in Kaneohe, Hawaii

Provider Information

NPI Number: 1104192970
Entity Type: Organization
Organization Name: Marimed Foundation
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Mar 27, 2012
Last Updated: Mar 27, 2012

Practice Location

Address: 47-292 AHAOLELO RD
City: Kaneohe
State: Hawaii
ZIP Code: 96744-4803
Phone: (808) 239-2939

Authorized Official

Name: MR. DANE GANES
Title: QA AND HR DIRECTOR
Phone: (808) 380-9964

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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