Healthcare Provider Details

I. General information

NPI: 1689224024
Provider Name (Legal Business Name): ACCESS TO CARE AMERICA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2019
Last Update Date: 09/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 ALA MOANA BLVD
HONOLULU HI
96813-4920
US

IV. Provider business mailing address

3010 VISTA PL
HONOLULU HI
96822-1641
US

V. Phone/Fax

Practice location:
  • Phone: 808-353-8413
  • Fax: 808-427-3471
Mailing address:
  • Phone: 808-219-0456
  • Fax: 808-427-3471

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRISTOPHER MATTHEW KNIGHTSBRIDGE
Title or Position: PRESIDENT AND FOUNDER
Credential: M.A.
Phone: 808-219-0456