Organization
CREATIVE CARE 2
Active
Other names
adult creative care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEVAN CLARK (OWNER)
(313) 713-1018
Entity
Organization
Contact information
Practice address
6405 MIDDLEBELT RD, ROMULUS, MI 48174-2036
(734) 895-6505
Mailing address
6405 MIDDLEBELT RD, ROMULUS, MI 48174-2036
(734) 895-6505
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/18/2013
Last updated
10/18/2013
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