| NPI | 1417577842 |
|---|---|
| Other Name | LISA DORNER-ZUPANCIC |
| Former Legal Business Name | CREATIVE SOLUTIONS GROUP COUNSELING SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | LISA DORNER-ZUPANCIC Owner 719-822-1495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2024-06-13 |