Organization
CRE8IVITY FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRUMAINE ROSS (MANAGING MEMBER)
(702) 583-0021
Entity
Organization
Contact information
Practice address
3651 LINDELL RD, D470, LAS VEGAS, NV 89103-1254
(702) 583-0021
Mailing address
3651 LINDELL RD, D470, LAS VEGAS, NV 89103-1254
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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