Organization
CREATIVE ARTS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. XANYA SOFRA-WEISS PH.D (PRESIDENT)
(808) 222-2664
Entity
Organization
Contact information
Practice address
7773 WAIKAPU LOOP, HONOLULU, HI 96825-3026
(808) 222-2664
Mailing address
7773 WAIKAPU LOOP, HONOLULU, HI 96825-3026
(808) 222-2664
(808) 395-0787
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSYCHOLOGY 520
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54022001
—
HI
Enumeration date
08/31/2007
Last updated
05/29/2008
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