Creative Growth Group INC

NPI #1295193043 in Odessa, Florida

Provider Information

NPI Number: 1295193043
Entity Type: Organization
Organization Name: Creative Growth Group INC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 8, 2016
Last Updated: Feb 8, 2016

Practice Location

Address: 12941 ROYAL GEORGE AVE
City: Odessa
State: Florida
ZIP Code: 33556-5710
Phone: (813) 408-1520

Authorized Official

Name: ROBERT BEAGUE
Title: PRES
Phone: (813) 408-1520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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