Organization
CREATIVE SPECIALTY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE JOHNSON (CEO)
(480) 613-0286
Entity
Organization
Contact information
Practice address
1215 E BROWN RD, MESA, AZ 85203-5046
(480) 613-0286
Mailing address
1215 E BROWN RD, MESA, AZ 85203-5046
(480) 613-0286
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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