CREATIVE LIFE SKILLS DEVELOPMENT

SURPRISE, AZ
NPI1184703670
Entity TypeOrganization
Authorized ContactLISA LYN HERRMANN
Owner
602-441-5975
Organization Subpart ?No
Primary Taxonomy261QD1600X Clinic/Center, Developmental Disabilities
Additional Taxonomies2251P0200X Physical Therapist, Pediatrics
225XP0200X Occupational Therapist, Pediatrics
235Z00000X Speech-Language Pathologist,
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities
(Licence: AZ  2762)
Enumeration Date2006-11-03
Last Update Date2011-09-07
Business Address
CREATIVE LIFE SKILLS DEVELOPMENT
15508 W BELL RD SUITE 101-261
SURPRISE, AZ 85374-2432
Phone number: 602-441-5975
Mailing Address
CREATIVE LIFE SKILLS DEVELOPMENT
15508 W BELL RD SUITE 101-261
SURPRISE, AZ 85374-2432
Phone number: 602-441-5975