Organization
CREATIVE HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIRSTEN ELISE STEPHAN MED. (CAIS CLINICIAN)
(610) 948-6490
Entity
Organization
Contact information
Practice address
931 SPARKLEBERRY LN, COLLEGEVILLE, PA 19426-3804
(610) 223-1014
Mailing address
931 SPARKLEBERRY LN, COLLEGEVILLE, PA 19426-3804
(610) 223-1014
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
PA
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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