| Organization Name: | CREATIVE LIVING ASSOCIATES |
| NPI Number: | 1043377278 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GLEN REDIEHS (SENIOR ASSOCIATE) |
| Mailing Address: | 101 Vance Ave Kannapolis |
| State: | NC US |
| Postal Code: | 280814339 |
| Phone Number: | 7047889184 |
| Fax Number: | |
| NPI Enumeration Date: | 01/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2296 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |