Organization
PACIFIC AUTISM CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRAVIS KNOTT (OPERATIONS MANAGER)
(808) 523-8188
Entity
Organization
Contact information
Practice address
670 AUAHI ST, SUITE A6, HONOLULU, HI 96813-5136
(808) 523-8188
(808) 523-1687
Mailing address
670 AUAHI STREET, SUITE A6, HONOLULU, HI 96813
(808) 523-8188
(808) 523-1687
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/04/2008
Last updated
02/04/2009
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