Organization
CREEKSIDE CHILD DEVELOPMENT SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRENE LYNN HATTON DI DEVELOPMENTAL INT (PRESIDENT OF AGENCY AND SOLE PROPRI)
(606) 663-3690
Entity
Organization
Contact information
Practice address
1120 BRUSH CREEK ROAD, CLAY CITY, KY 40312
(606) 663-3690
(606) 663-3690
Mailing address
1120 BRUSH CREEK ROAD, CLAY CITY, KY 40312
(606) 663-3690
(606) 663-3690
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
KY
Other
Enumeration date
05/07/2007
Last updated
08/22/2020
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