| NPI | 1356040372 |
|---|---|
| Doing Business As | CREATIVE FOUNDATIONS LLC |
| Entity Type | Organization |
| Authorized Contact | AMELIA ZEPHYR CEO 315-982-8307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2023-04-23 |