NPI | 1639666837 |
---|---|
Doing Business As | CREATIVE WELLNESS INSTITUTE |
Entity Type | Organization |
Authorized Contact | CECCILY BEDNASH President 602-299-4679 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 251S00000X |
252Y00000X Early Intervention Provider Agency | |
261QD1600X Clinic/Center, Developmental Disabilities | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QR0400X Clinic/Center, Rehabilitation | |
Enumeration Date | 2018-04-13 |
Last Update Date | 2018-04-13 |