| Rolling Wave Aba, Llc | |
|
45-143c William Henry Rd # C Kaneohe HI 96744-3150 | |
| (808) 728-2175 | |
| Not Available |
| Full Name | Rolling Wave Aba, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 45-143c William Henry Rd # C, Kaneohe, Hawaii |
| Authorized Official Name and Position | Ashley Rosser (OWNER/ CLINICAL DIRECTOR) |
| Authorized Official Contact | 8087282175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rolling Wave Aba, Llc 45-143c William Henry Rd # C Kaneohe HI 96744-3150 Ph: (808) 728-2175 | Rolling Wave Aba, Llc 45-143c William Henry Rd # C Kaneohe HI 96744-3150 Ph: (808) 728-2175 |
| NPI Number | 1033980487 |
|---|---|
| Provider Enumeration Date | 01/15/2024 |
| Last Update Date | 01/15/2024 |
| Certification Date | 01/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033980487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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