Organization
CREATIVE FAMILY SUPPORT
Active
Other names
Creative Family Coaching INC
Organization subpart
No
Provider details
NPI number
Authorized official
KELLIE GRILLO- SCHMIDT MA (CEO)
(714) 619-9331
Entity
Organization
Contact information
Practice address
1851 E 1ST ST, SUITE 900, SANTA ANA, CA 92705-4017
(714) 619-9331
Mailing address
1851 E 1ST ST, SUITE 900, SANTA ANA, CA 92705-4017
(714) 619-9331
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-12-11635
CA
Other
Enumeration date
06/04/2013
Last updated
04/08/2014
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