Organization
KREATIVE THERAPY
Active
Organization
KREATIVE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IRMA NYACK (PRESIDENT)
(973) 866-7656
Entity
Organization
Contact information
Practice address
60 CENTRAL AVE, MONTCLAIR, NJ 07042-2951
(973) 980-9408
Mailing address
PO BOX 652, MONTCLAIR, NJ 07042-0652
(973) 980-9408
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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