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Organization
PRISM CREATIVE ARTS WELLNESS CENTER LLC
Active
Organization
PRISM CREATIVE ARTS WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIE SHEN (OWNER)
(310) 993-2017
Entity
Organization
Contact information
Practice address
4441 RICE ST UNIT 662112, LIHUE, HI 96766-7605
(720) 541-9007
Mailing address
PO BOX 662112, LIHUE, HI 96766-7112
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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