Provider Demographics
NPI:1720523459
Name:CREATIVE ALTERNATIVES, INC
Entity Type:Organization
Organization Name:CREATIVE ALTERNATIVES, INC
Other - Org Name:CREATIVE ALTERNATIVES INC-MERCED OFFICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:BIDDLE
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:209-668-9361
Mailing Address - Street 1:3195 M ST
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95348-2406
Mailing Address - Country:US
Mailing Address - Phone:209-723-6030
Mailing Address - Fax:
Practice Address - Street 1:3195 M ST
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95348-2406
Practice Address - Country:US
Practice Address - Phone:209-723-6030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-04
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency