Organization
PACIFIC QUEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE REYES (FINANCE DIRECTOR)
(808) 987-1124
Entity
Organization
Contact information
Practice address
301 KALANIANAOLE AVENUE, HILO, HI 96720-2426
(808) 987-1124
(888) 524-7539
Mailing address
301 KALANIANAOLE AVENUE, HILO, HI 96720-2426
(808) 935-8712
(888) 524-7539
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/06/2012
Last updated
11/30/2023
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