Bobby Benson Center

NPI #1962659540 in Kahuku, Hawaii

Provider Information

NPI Number: 1962659540
Entity Type: Organization
Organization Name: Bobby Benson Center
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Aug 26, 2008
Last Updated: Aug 26, 2008

Practice Location

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

Authorized Official

Name: MR. JEFF WAGNER, MFT
Title: DIRECTOR
Phone: (808) 293-7555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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