| Creative Solutions 4 Kids And Families Llc | |
|
4700 Sheridan St Suite J Hollywood FL 33021-3420 | |
| (954) 832-3602 | |
| Not Available |
| Full Name | Creative Solutions 4 Kids And Families Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4700 Sheridan St, Hollywood, Florida |
| Authorized Official Name and Position | Devina Cruickshank (MEMBER/MANAGER) |
| Authorized Official Contact | 9548323602 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Solutions 4 Kids And Families Llc 4700 Sheridan St Suite J Hollywood FL 33021-3420 Ph: (954) 832-3602 | Creative Solutions 4 Kids And Families Llc 4700 Sheridan St Suite J Hollywood FL 33021-3420 Ph: (954) 832-3602 |
| NPI Number | 1750601373 |
|---|---|
| Provider Enumeration Date | 06/04/2010 |
| Last Update Date | 12/27/2012 |
| Medicare PECOS PAC ID | 6709059371 |
|---|---|
| Medicare Enrollment ID | O20111026000350 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750601373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Devina D Cruickshank |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275766933 PECOS PAC ID: 7214100882 Enrollment ID: I20111114000651 |
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