Creative Arts Center

Organization Active NPI Community/Behavioral Health Agency · Honolulu, HI

NPI 1124212261 · NPPES record last updated May 29, 2008

Key facts

NPI
1124212261
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
PSYCHOLOGY 520 (HI)
Legal business name
CREATIVE ARTS CENTER
Practice address
7773 Waikapu Loop
Honolulu, HI 96825-3026
Phone
(808) 222-2664
NPI assigned
Aug 31, 2007
Organization subpart
No

Authorized official

Name
Dr. Xanya Sofra-Weiss, PH.D
Title
President
Phone
(808) 222-2664

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PSYCHOLOGY 520 HI Yes

Addresses

Primary practice location

7773 Waikapu Loop
Honolulu, HI 96825-3026

Mailing address

7773 Waikapu Loop
Honolulu, HI 96825-3026
Phone (808) 222-2664

Other identifiers

IdentifierTypeStateIssuer
54022001MedicaidHI

Other providers in Honolulu, HI

All providers in Honolulu, HI · Community/Behavioral Health Agency in Hawaii

Sources for this page

Verify at the official NPI Registry.