| NPI | 1811574833 |
|---|---|
| Doing Business As | CREATIVE POTENTIAL |
| Entity Type | Organization |
| Authorized Contact | SIERRA R DAVIS Owner 860-848-0514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2021-03-25 |