Creative Community Support, Llc in Greenville - Community/behavioral Health
Creative Community Support, Llc - NPI 1518148279
Creative Community Support, Llc is a Community/behavioral Health in Greenville, North Carolina. Creative Community Support, Llc practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Creative Community Support, Llc is 1518148279. The last update date is 2007-11-29.
Creative Community Support, Llc's current location address is 1206 Evans St Ste 12, Greenville, North Carolina. You can contact this provider via phone number 2524130546. The mailing address for Creative Community Support, Llc is 1206 Evans St Ste 12, Greenville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Creative Community Support, Llc |
|---|---|
| Address | 1206 Evans St Ste 12, Greenville, North Carolina |
| Phone Number | 2524130546 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Spruill Sallahdeen |
| Telephone Number | 2524130546 |
NPI Number Detail
| NPI Number | 1518148279 |
|---|---|
| Provider Enumeration Date | 2007-11-21 |
| Last Updated Date | 2007-11-29 |
Provider Mailing Address Detail
| Address | 1206 Evans St Ste 12 |
|---|---|
| City | Greenville |
| State | North Carolina (NC) |
| Post Code | 278344102 |
| Phone Number | 2524130546 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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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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What is the unique 10-digit identifier code issued to Creative Community Support, Llc by the Centers for Medicare & Medicaid Services?
The Creative Community Support, Llc has been assigned the NPI (National Provider Identifier) 1518148279 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Creative Community Support, Llc is geographically located?
The Creative Community Support, Llc is physically situated at the following location: 1206 Evans St Ste 12, Greenville, NC, 278344102.
What is Creative Community Support, Llc's area of expertise and its corresponding taxonomy classification?
The Creative Community Support, Llc's field of specialization is Community/behavioral Health, and it falls under the taxonomy code 251S00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Creative Community Support, Llc receive the assignment of its 1518148279 from the Centers for Medicare & Medicaid Services?
The Creative Community Support, Llc was issued its 1518148279 by the Centers for Medicare & Medicaid Services on 2007-11-21.
When was the information related to Creative Community Support, Llc most recently updated or refreshed?
The details pertaining to the Creative Community Support, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-11-29.