Provider First Line Business Practice Location Address:
4 1751 KUHIO HIGHWAY
Provider Second Line Business Practice Location Address:
FRIENDSHIP HOUSE PSUCHO SOCIAL REHABILITATION PROGRAM
Provider Business Practice Location Address City Name:
KAPAA
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96746-2064
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-821-4480
Provider Business Practice Location Address Fax Number:
808-821-4483
Provider Enumeration Date:
02/27/2007