| NPI | 1235266958 |
|---|---|
| Former Legal Business Name | CENTER FOR CREATIVE LIVING |
| Entity Type | Organization |
| Authorized Contact | CARRIE M WHITE Clinic Services Team Leader 859-288-2311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2008-06-17 |