| NPI | 1740871201 |
|---|---|
| Doing Business As | CREATIVE JOURNEY, LLC |
| Entity Type | Organization |
| Authorized Contact | SHAULEE A IVERSON Owner/President 701-658-9032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2021-01-28 |