NPI 1003109802
Creative Collaboration
Practice location
- Address
- 8070 W Russell Rd APT 1065, Las Vegas, NV 89113-1549
- Phone
- (702) 610-4153
Authorised official
- Name
- Bonito Sahagun
- Title
- President
- Phone
- (702) 610-4153
Registered specialties (2)
Community/Behavioral Health Agency
Primary
Social Worker
Registry record
- NPI
- 1003109802
- Entity type
- Organization
- NPI issued
- 26 May 2011
- Record last updated
- 26 May 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.