Creative One Studio, Inc.
NPI #1306084991 in Villa Park, Illinois
Provider Information
- NPI Number
- 1306084991
- Entity Type
- Organization
- Organization Name
- Creative One Studio, Inc.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Feb 4, 2009
- Last Updated
- Apr 11, 2011
Practice Location
- Address
- 501 S HARVARD AVE
- City
- Villa Park
- State
- Illinois
- ZIP Code
- 60181-2808
- Phone
- (773) 318-7331
Authorized Official
- Name
- MS. TRACY PUALANI TAKAKI, BC-DMT, LCPC
- Title
- PROFESSIONAL COUNSELOR
- Phone
- (773) 318-7331
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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