Organization
CREATIVE IMPACT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUINTINA JONES (OWNER)
(713) 320-1329
Entity
Organization
Contact information
Practice address
11403 FAWNWAY DR, HOUSTON, TX 77048-2605
(713) 320-1329
Mailing address
11403 FAWNWAY DR, HOUSTON, TX 77048-2605
(713) 320-1329
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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