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Pacific Autism Center

Early Intervention Provider Agency in Honolulu, HI. Organization (NPI-2).

NPI number1154569770
StatusActive
Last updated in NPPESFeb 4, 2009

Details

NPI
1154569770
Entity type
Organization (NPI-2)
Legal business name
Pacific Autism Center
Organization subpart
No
Enumeration date
Feb 4, 2009
Last updated
Feb 4, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
252Y00000X Early Intervention Provider Agency––Yes

Practice location

670 Auahi St Ste A6
Honolulu, HI 96813-5166

Phone 808-523-8188 · Fax 808-523-1687

Mailing address

670 Auahi St Ste A6
Honolulu, HI 96813-5166

Phone 808-523-8188 · Fax 808-523-1687

Authorized official

Suzanne Lyle
Therapist
8085238188

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