Organization
EASTER SEALS HAWAII
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN TARRANT BCABA (PROGRAM DIRECTOR)
(808) 522-8188
Entity
Organization
Contact information
Practice address
200 N VINEYARD BLVD, SUITE B120, HONOLULU, HI 96817-3950
(808) 522-8188
Mailing address
200 N VINEYARD BLVD, SUITE B120, HONOLULU, HI 96817-3950
(808) 522-8188
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13511961
CAQH
—
Enumeration date
03/19/2015
Last updated
03/19/2015
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