Organization
CREATIVE HEALTH SERVICES, INC.
Active
Parent organization
CREATIVE HEALTH SERVICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CREATIVE HEALTH SERVICES, INC.
Authorized official
MR. RANDALL D. REBER (CHIEF FINANCIAL OFFICER)
(484) 941-0500
Entity
Organization
Contact information
Practice address
35 EVANSBURG RD, COLLEGEVILLE, PA 19426
(484) 854-9833
Mailing address
11 ROBINSON ST, POTTSTOWN, PA 19464-6439
(484) 941-0500
(484) 941-0515
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100751163
—
PA
Enumeration date
11/03/2008
Last updated
04/24/2019
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