Organization
CREATIVE INTERVENTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT LEVINE (EXECUTIVE DIRECTOR/MEMBER)
(860) 413-9538
Entity
Organization
Contact information
Practice address
835 BLOOMFIELD AVE, WINDSOR, CT 06095
(860) 413-9538
(860) 838-4241
Mailing address
P.O BOX 367, WINDSOR, CT 06095
(860) 413-9538
(860) 838-4241
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
12/18/2014
Last updated
03/20/2020
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