Organization
CREATIVE OASIS LLC
Active
Other names
Creative Oasis
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS PATTON (FOUNDER/DIRECTOR)
(719) 728-0240
Entity
Organization
Contact information
Practice address
223 N WAHSATCH AVE, COLORADO SPRINGS, CO 80903-3479
(719) 728-0240
Mailing address
1804 S 8TH ST, COLORADO SPRINGS, CO 80905-2414
(719) 728-0240
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
06/14/2023
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