The Bobby Benson Center

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

Legal business name

THE BOBBY BENSON CENTER

Practice address

56-660 Kamehameha Hwy
Kahuku, HI 96731-2210

Phone

(808) 293-7555

Fax

(808) 293-7196

NPI assigned

Aug 19, 2008

Last updated

Aug 19, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly Ann Marie Mines, M.S.W.

Title

Therapist

Phone

(808) 293-7555

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1033366216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56-660 KAMEHAMEHA HWY",
            "city": "KAHUKU",
            "state": "HI",
            "postal_code": "967312210",
            "telephone_number": "808-293-7555",
            "fax_number": "808-293-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56-660 KAMEHAMEHA HWY",
            "city": "KAHUKU",
            "state": "HI",
            "postal_code": "967312210",
            "telephone_number": "808-293-7555",
            "fax_number": "808-293-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BOBBY BENSON CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "MINES",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN MARIE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "808-293-7555",
        "authorized_official_credential": "M.S.W."
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunset Therapy Center
• Douglas A Sutherland, MD
• Karoline K Tam
• Momilani Sarah-Jean Te'O
• Catherine Teriipaia, HOUSE MANAGER
• The Bobby Benson Center
• Jonah Cranston Tui
• Andrea F Tuialuuluu
• Oreta Masina Tupola, MSW
• Sefanaia Lango Tupou

• Children's Substance Abuse Rehabilitation Facility in Kahuku, HI
• Providers in Kahuku, HI by specialty
• Children's Substance Abuse Rehabilitation Facility in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.