Organization
CREATIVE INDEPENDENCE ALLIANCE, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA PENDLETON (DIRECTOR)
(267) 275-2393
Entity
Organization
Contact information
Practice address
5323 MILLENIA LK BLVD STE 300, ORLANDO, FL 32839-3395
(844) 698-4498
Mailing address
5323 MILLENIA LK BLVD STE 300, ORLANDO, FL 32839-3395
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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