Provider Demographics
NPI:1679866339
Name:DAWN PATROL ASSESSMENTS
Entity type:Organization
Organization Name:DAWN PATROL ASSESSMENTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:CSAC, CSAPM
Authorized Official - Phone:808-783-5851
Mailing Address - Street 1:901 RIVER ST
Mailing Address - Street 2:#804
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-5320
Mailing Address - Country:US
Mailing Address - Phone:808-783-5851
Mailing Address - Fax:
Practice Address - Street 1:901 RIVER ST
Practice Address - Street 2:#804
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-5320
Practice Address - Country:US
Practice Address - Phone:808-783-5851
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-26
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1337-07261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder