| NPI | 1467095141 |
|---|---|
| Doing Business As | CREATIVITY CENTER |
| Entity Type | Organization |
| Authorized Contact | UZOMA C OSUCHUKWU CEO/Medical Director 702-763-7811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QM0801X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2020-04-27 |