Organization
PACIFIC QUEST CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNDI DESHA (BUSINESS OFFICE MANAGER)
(808) 935-5423
Entity
Organization
Contact information
Practice address
15 KANOA ST, HILO, HI 96720-2426
(808) 935-5423
(808) 443-0418
Mailing address
15 KANOA ST, HILO, HI 96720-2426
(808) 935-5423
(808) 443-0418
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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