Bobby Benson Center

NPI #1306904461 in Kahuku, Hawaii

Provider Information

NPI Number: 1306904461
Entity Type: Organization
Organization Name: Bobby Benson Center
Primary Specialty: Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Enumeration Date: Dec 4, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 56-660 KAMEHAMEHA HWY
City: Kahuku
State: Hawaii
ZIP Code: 96731-2210
Phone: (808) 293-7555

Authorized Official

Name: MR. JEFFRIE WAGNER
Title: EXECUTIVE DIRECTOR
Phone: (808) 293-7555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X	Primary

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