Organization
CREATIVE CARE
Active
Organization
CREATIVE CARE
Active
Other names
CREATIVE CARE
Organization subpart
No
Provider details
NPI number
Authorized official
TERRANCE ROBERTS (EXECUTIVE DIRECTOR)
(727) 317-3932
Entity
Organization
Contact information
Practice address
2442 23RD ST N, ST PETERSBURG, FL 33713-4018
(727) 317-3932
Mailing address
2442 23RD ST N, ST PETERSBURG, FL 33713-4018
(727) 317-3932
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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