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Organization

CREATIVE LEARNING INSTITUTE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GWENDOLYN HAYNES (EXECUTIVE DIRECTOR)
(310) 704-5021
Entity
Organization

Contact information

Practice address
1702 N WILMINGTON AVE, COMPTON, CA 90222-3419
(310) 704-5021
(310) 438-1707
Mailing address
1601 E TUCKER ST, COMPTON, CA 90221-1639
(310) 704-5021
(310) 438-1707

Taxonomy

Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary

Other

Enumeration date
01/23/2012
Last updated
01/23/2012
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