Organization
CREATIVE COLLABORATION
Active
Organization
CREATIVE COLLABORATION
Active
Other names
CC Youth Empowerment Services
Organization subpart
No
Provider details
NPI number
Authorized official
BONITO SAHAGUN (PRESIDENT)
(702) 610-4153
Entity
Organization
Contact information
Practice address
8070 W RUSSELL RD, APT 1065, LAS VEGAS, NV 89113-1549
(702) 610-4153
Mailing address
8070 W RUSSELL RD, APT 1065, LAS VEGAS, NV 89113-1549
(702) 610-4153
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up