CREATIVE COMMUNITY SERVICE, INC.

Community/Behavioral Health Agency · NORCROSS, GA

Organization Active NPI 1891820130

Taxonomy & licensure

Specialty	Code	Primary	License	State
Community/Behavioral Health Agency	251S00000X	✓	060-R-0018	GA
Developmentally Disabled Services Day Training Agency	251C00000X		060-R-0018	GA
Community/Behavioral Health Agency	251S00000X		CP-FC0040079	GA

At a glance

NPI: 1891820130
Entity type: Organization
Enumerated: 2007-02-23
Last updated (NPPES): 2008-05-21

Location

Practice address: 4487 PARK DR, SUITE A, NORCROSS, GA, 300932964
Phone: 7704696226

Organization

Authorized official: CATHY PALLON — CHIEF OPERATING OFFICER
Subpart: No

Other identifiers

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See all Community/Behavioral Health Agency providers in Georgia →

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.