Provider Demographics
NPI:1902615586
Name:LOKAHI TREATMENT CENTERS
Entity type:Organization
Organization Name:LOKAHI TREATMENT CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMAL
Authorized Official - Middle Name:
Authorized Official - Last Name:WASAN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:808-895-0444
Mailing Address - Street 1:400 HUALANI ST.
Mailing Address - Street 2:BLDG. 10, SUITE 195B
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720
Mailing Address - Country:US
Mailing Address - Phone:808-969-9292
Mailing Address - Fax:
Practice Address - Street 1:400 HUALANI ST.
Practice Address - Street 2:BLDG. 10, SUITE 195B
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720
Practice Address - Country:US
Practice Address - Phone:808-969-9292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOKAHI TREATMENT CENTERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty