Organization
PACIFIC RIM PLAY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH M KONG LMFT (MANAGING MEMBER)
(808) 722-7045
Entity
Organization
Contact information
Practice address
49 S HOTEL ST, SUITE 201, HONOLULU, HI 96813-3108
(808) 722-7045
Mailing address
PO BOX 235060, HONOLULU, HI 96823-3500
(808) 722-7045
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MFT 238
HI
Other
Enumeration date
05/19/2010
Last updated
12/11/2010
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