Organization
CREATIVE CARE SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL J GRAHAM (PRESIDENT)
(702) 643-4443
Entity
Organization
Contact information
Practice address
755 N ROOP ST, SUITE 211, CARSON CITY, NV 89701-3113
(775) 884-1400
(775) 884-1402
Mailing address
800 N RAINBOW BLVD, SUITE 208, LAS VEGAS, NV 89107-1189
(702) 643-4443
(702) 878-8761
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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