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 |