Creative Community Service, Inc. in Norcross - Community/behavioral Health
Creative Community Service, Inc. - NPI 1891820130
Creative Community Service, Inc. is a Community/behavioral Health in Norcross, Georgia. Creative Community Service, Inc. practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Creative Community Service, Inc. is 1891820130. The last update date is 2008-05-21.
Creative Community Service, Inc.'s current location address is 4487 Park Dr, Norcross, Georgia. You can contact this provider via phone number 7704696226 and fax number 6788944081. The mailing address for Creative Community Service, Inc. is 4487 Park Dr, Norcross, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Creative Community Service, Inc. |
|---|---|
| Address | 4487 Park Dr, Norcross, Georgia |
| Phone Number | 7704696226 |
| Fax Number | 6788944081 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF OPER |
|---|---|
| Authorized Official Name | Pallon Cathy |
| Telephone Number | 7704696226 |
NPI Number Detail
| NPI Number | 1891820130 |
|---|---|
| Provider Enumeration Date | 2007-02-23 |
| Last Updated Date | 2008-05-21 |
Provider Mailing Address Detail
| Address | 4487 Park Dr |
|---|---|
| City | Norcross |
| State | Georgia (GA) |
| Post Code | 300932964 |
| Phone Number | 7704696226 |
| Fax Number | 6788944081 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | CP-FC0040079 |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000565375AA | GA | -- | |
| 000565375AC | GA | -- | |
| 000565375F | GA | -- | |
| 000565375G | GA | -- | |
| 000565375J | GA | -- | |
| 000565375Y | GA | -- | |
| 000565375AD | GA | -- | |
| 000565375AF | GA | -- | |
| 000565375AL | GA | -- | |
| 000565375AN | GA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Creative Community Service, Inc.?
The Creative Community Service, Inc. has been issued the NPI (National Provider Identifier) 1891820130 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Creative Community Service, Inc. is physically located?
The Creative Community Service, Inc. is situated at the following address: 4487 Park Dr, Norcross, GA 300932964.
What is Creative Community Service, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Creative Community Service, Inc. is Community/behavioral Health, and the taxonomy code that categorizes this field of expertise is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1891820130 to Creative Community Service, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1891820130 to Creative Community Service, Inc. on 2007-02-23.
As of what date were the details pertaining to Creative Community Service, Inc. last refreshed?
The information related to the Creative Community Service, Inc., including its address, specialty, and other relevant details, was last updated on 2008-05-21.