Creekside Child Development Services Inc
Organization Active NPI Developmental Disabilities Clinic/Center · Clay City, KY
NPI 1861604142 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1861604142
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmental Disabilities Clinic/Center 261QD1600X
- Legal business name
- CREEKSIDE CHILD DEVELOPMENT SERVICES INC
- Practice address
- 1120 Brush Creek Road
Clay City, KY 40312 - Phone
- (606) 663-3690
- Fax
- (606) 663-3690
- NPI assigned
- May 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Irene Lynn Hatton, DI DEVELOPMENTAL INT
- Title
- President of Agency and Sole Propri
- Phone
- (606) 663-3690
Practitioners 1
-
Irene L Hatton, DI
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | KY | Yes |
Addresses
Primary practice location
1120 Brush Creek Road
Clay City, KY 40312
Mailing address
1120 Brush Creek Road
Clay City, KY 40312
Phone (606) 663-3690
Other providers in Clay City, KY
- Andrea Beth Brooks
- Christina Busse
- Clay City Pediatrics, PSC
- Leslie Rae Cordial
- Stacy Lynette Crase
- Sandra Crum-Stevens
- Lelia Elam
- Felicia Estes
- Sasha Flinchum
- Gwendolyn Lee Holder
All providers in Clay City, KY · Developmental Disabilities Clinic/Center in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.