NPI 1114262045
Creative Life
Practice location
- Address
- 2443 N 37th Way, Phoenix, AZ 85008-2219
- Phone
- (602) 291-5863
Authorised official
- Name
- Orlando Diaz
- Title
- Case Manager
- Phone
- (602) 291-5863
Registered specialties
Case Management Agency
Primary
Registry record
- NPI
- 1114262045
- Entity type
- Organization
- NPI issued
- 4 Dec 2012
- Record last updated
- 21 Jul 2022
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.