| Breaking Boundaries Recovery Services, Inc. | |
|
338 Kamokila Blvd Suite 206 Kapolei HI 96707-2055 | |
| (808) 312-1530 | |
| (808) 744-6793 |
| Full Name | Breaking Boundaries Recovery Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 338 Kamokila Blvd, Kapolei, Hawaii |
| Authorized Official Name and Position | Isonna S Marrow (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 8083121530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breaking Boundaries Recovery Services, Inc. 338 Kamokila Blvd Suite 206 Kapolei HI 96707-2055 Ph: (808) 312-1530 | Breaking Boundaries Recovery Services, Inc. 338 Kamokila Blvd Suite 206 Kapolei HI 96707-2055 Ph: (808) 312-1530 |
| NPI Number | 1922427590 |
|---|---|
| Provider Enumeration Date | 04/10/2014 |
| Last Update Date | 04/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922427590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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