Organization
PARENT CHILD DEVELOPMENT CENTER WAHIAWA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE HIGASHI LCSW (PROGRAM DIRECTOR)
(808) 621-2322
Entity
Organization
Contact information
Practice address
1403 CALIFORNIA AVE, WAHIAWA, HI 96786-2583
(808) 621-2322
(808) 621-5033
Mailing address
1403 CALIFORNIA AVE, WAHIAWA, HI 96786-2583
(808) 621-2322
(808) 621-5033
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64644003
—
HI
Enumeration date
12/14/2011
Last updated
06/07/2012
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