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General NPI Number Information
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NPI Number | 1730625898
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Entity Type | Organization
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Legal Business Name | CREATIVE ALTERNATIVES INC.
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Dates
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Enumeration Date | 01/13/2017
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 1195 E TUOLUMNE RD
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City | TURLOCK
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State | CA
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Zip | 95382-1541
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Country | US
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Telephone | 209-632-9600
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Fax |
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Provider Business Mailing Address
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Address Line | 2855 GEER RD
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City | TURLOCK
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State | CA
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Zip | 95382-1133
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Country | US
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Telephone | 209-668-9361
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Fax | 209-668-0539
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Authorized Official
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Title or Position | ASSISTANT EXECUTIVE DIRECTOR
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Name | LISA JACOBS
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Credential | MPA
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Telephone | 209-668-9361
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number | 500311481
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License Number State | CA
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