| Creative Spark Therapy | |
|
2110 Ne 38th Rd Homestead FL 33033-5104 | |
| (786) 417-8272 | |
| Not Available |
| Full Name | Creative Spark Therapy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2110 Ne 38th Rd, Homestead, Florida |
| Authorized Official Name and Position | Crystal Lozano (PRESIDENT) |
| Authorized Official Contact | 7864178272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Spark Therapy 2110 Ne 38th Rd Homestead FL 33033-5104 Ph: (786) 417-8272 | Creative Spark Therapy 2110 Ne 38th Rd Homestead FL 33033-5104 Ph: (786) 417-8272 |
| NPI Number | 1992260368 |
|---|---|
| Provider Enumeration Date | 02/09/2019 |
| Last Update Date | 02/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992260368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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