| NPI | 1679239826 |
|---|---|
| Doing Business As | CREATIVE POTENTIAL |
| Entity Type | Organization |
| Authorized Contact | SIERRA R DAVIS Owner 860-848-0514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2021-11-11 |