Provider Demographics
NPI:1033495387
Name:CENTER FOR CREATIVE ARTS AND PLAY THERAPY
Entity Type:Organization
Organization Name:CENTER FOR CREATIVE ARTS AND PLAY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAFT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-741-0000
Mailing Address - Street 1:2001 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2841
Mailing Address - Country:US
Mailing Address - Phone:717-741-0000
Mailing Address - Fax:717-668-8353
Practice Address - Street 1:1508 E MARKET ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-1255
Practice Address - Country:US
Practice Address - Phone:717-741-0000
Practice Address - Fax:717-659-5094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-01
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW015262305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization