Organization
CREATIVE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATONYA LEE NIANG (CLINICAL DIRECTOR)
(910) 914-0015
Entity
Organization
Contact information
Practice address
803 S MADISON ST, WHITEVILLE, NC 28472-4625
(910) 914-0015
(910) 914-0015
Mailing address
803 S MADISON ST, WHITEVILLE, NC 28472-4625
(910) 914-0015
(910) 914-0015
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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