| NPI | 1598983710 |
|---|---|
| Other Name | CREATIVE LIFE SKILLS DEVELOPMENT, LLC |
| Entity Type | Organization |
| Authorized Contact | LISA LYN HERRMANN Owner 602-441-5975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AZ 2762) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |