Provider Demographics
NPI:1619102472
Name:CREATIVE CASE MANAGEMENT, LLC
Entity Type:Organization
Organization Name:CREATIVE CASE MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:A
Authorized Official - Last Name:REITER
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:818-252-7800
Mailing Address - Street 1:70 WOODFIN PL
Mailing Address - Street 2:#307
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2463
Mailing Address - Country:US
Mailing Address - Phone:828-252-7800
Mailing Address - Fax:828-252-7802
Practice Address - Street 1:70 WOODFIN PL
Practice Address - Street 2:#307
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2463
Practice Address - Country:US
Practice Address - Phone:828-252-7800
Practice Address - Fax:828-252-7802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-22
Last Update Date:2009-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1255572400OtherNPI TYPE 1