Provider Demographics
NPI:1033488572
Name:CREATIVE REMEDY FAMILY SERVICES
Entity Type:Organization
Organization Name:CREATIVE REMEDY FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-376-3963
Mailing Address - Street 1:4262 BLUE DIAMOND RD
Mailing Address - Street 2:ST. 102-284
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89139-7789
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4262 BLUE DIAMOND RD
Practice Address - Street 2:ST. 102-284
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89139-7789
Practice Address - Country:US
Practice Address - Phone:702-376-3963
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-28
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health