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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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