OrganizationActive
Bobby Benson Center
NPI 1962659540 · Mental Illness Community Based Residential Treatment Facility · Kahuku, HI
Provider details
- NPI number
- 1962659540
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jeff Wagner, Director(808) 293-7555
- License
- 320800000X (HI)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense 320800000X (HI)
Residential Treatment Facilities
Practice location
56-660 Kamehameha Hwy
Kahuku, HI 96731-2210
Phone: (808) 293-7555
Fax: (808) 293-7196
Approximate (ZIP-level) locationGet directions
Mailing address
56-660 Kamehameha Highway
Kahuku, HI 96731
Registry dates
- Enumerated
- 2008-08-26
- Last updated
- 2008-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.