Organization
CREATIVE CARE SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH CHERRY WILKIN LCSW (SECRETARY)
(812) 219-8341
Entity
Organization
Contact information
Practice address
455 E WYLIE FARM RD, BLOOMINGTON, IN 47401-4591
(812) 219-8341
Mailing address
455 E WYLIE FARM RD, BLOOMINGTON, IN 47401-4591
(812) 219-8341
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
34004227A
IN
251S00000X
Community/Behavioral Health Agency
Primary
34004227A
IN
253Z00000X
In Home Supportive Care Agency
34004227A
IN
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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