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Contact Information

CREATIVE GROWTH THERAPY
3584 W OUTER DR
DETROIT, MI48221-1662
 Phone: 248-396-4602
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Art Therapist

221700000X
 

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for CREATIVE GROWTH THERAPY

NPI # 1477138253
LBN Legal business name CREATIVE GROWTH THERAPY
Authorized official JENNA DEBRYN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/13/2021
Last updated 09/17/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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