| NPI | 1134236011 |
|---|---|
| Doing Business As | CREATIVE CHANGE |
| Entity Type | Organization |
| Authorized Contact | AMY L. ROBINSON Director 847-699-3399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2008-06-17 |