Organization
KREATIVE KINNECTIONZ YOUTH OUTREACH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE SMITH-BRENT (EXECUTIVE DIRECTOR)
(312) 857-5143
Entity
Organization
Contact information
Practice address
4137 SAUK TRL STE 116, RICHTON PARK, IL 60471-1253
(773) 746-2063
Mailing address
4137 SAUK TRL STE 116, RICHTON PARK, IL 60471-1253
(773) 746-2063
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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