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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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