| NPI | 1720544463 |
|---|---|
| Doing Business As | CREATIVE SPACE |
| Entity Type | Organization |
| Authorized Contact | BARBARA MAULDING CEO/Therapist 224-623-2251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2024-03-13 |