Organization
CREATIVE SOUTHERN CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA HOUCHENS (OWNER)
(910) 630-4247
Entity
Organization
Contact information
Practice address
1088 GLEN REILLY DR, FAYETTEVILLE, NC 28314-5623
(910) 630-4247
Mailing address
1088 GLEN REILLY DR, FAYETTEVILLE, NC 28314-5623
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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