| Creative Family Support | |
|
1851 E 1st St Suite 900 Santa Ana CA 92705-4017 | |
| (714) 619-9331 | |
| Not Available |
| Full Name | Creative Family Support |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1851 E 1st St, Santa Ana, California |
| Authorized Official Name and Position | Kellie Grillo- Schmidt (CEO) |
| Authorized Official Contact | 7146199331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Family Support 1851 E 1st St Suite 900 Santa Ana CA 92705-4017 Ph: (714) 619-9331 | Creative Family Support 1851 E 1st St Suite 900 Santa Ana CA 92705-4017 Ph: (714) 619-9331 |
| NPI Number | 1255779989 |
|---|---|
| Provider Enumeration Date | 06/04/2013 |
| Last Update Date | 04/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255779989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1-12-11635 (California) | Primary |
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