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Creative Community Service, Inc.
Community/Behavioral Health Agency in Norcross, Georgia
NPI 1891820130

Creative Community Service, Inc. is a Community/Behavioral Health Agency based in Norcross, GA. Creative Community Service, Inc. practices in Norcross, GA. The NPI Number for Creative Community Service, Inc. is 1891820130 and holds a License No. 060-R-0018 (Georgia).

The current practice location address for Creative Community Service, Inc. is 4487 Park Dr, Norcross, GA and can be reached out via phone at 770-469-6226 and via fax at 678-894-4081. You can also correspond with Creative Community Service, Inc. through the mailing address at 4487 PARK DR, NORCROSS, GA - 30093-2964 (mailing address contact number: 770-469-6226).

Location: 4487 Park Dr, Norcross, GA, 30093-2964
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891820130
Provider Name
Creative Community Service, Inc.
Credential
Provider Entity Type
Organization
Address
4487 Park Dr, Norcross, GA, 30093-2964
Phone Number
770-469-6226
Fax Number
678-894-4081
Provider Enumeration Date
02/23/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000565375AA 05 GA
000565375AC 05 GA
000565375F 05 GA
000565375G 05 GA
000565375J 05 GA
000565375Y 05 GA
000565375AD 05 GA
000565375AF 05 GA
000565375AL 05 GA
000565375AN 05 GA
000565375N 05 GA
000565375P 05 GA
000565375U 05 GA
000565375AB 05 GA
000565375AK 05 GA
000565375M 05 GA
000565375V 05 GA
000565375W 05 GA
000565375Z 05 GA
000565375L 05 GA
000565375Q 05 GA
000565375AM 05 GA
000565375I 05 GA
300025237-C 05 GA
000565375AE 05 GA
000565375AI 05 GA
000565375AJ 05 GA
000565375R 05 GA
000565375S 05 GA
000565375X 05 GA
000565375K 05 GA
000565375O 05 GA
000565375T 05 GA
000565375AG 05 GA
000565375AH 05 GA
000565375B 05 GA
000565375H 05 GA
institution
Provider Business Practice Location Address Details
Address
4487 Park Dr
City
Norcross
State
Georgia
Zip
30093-2964
Phone Number
770-469-6226
Fax Number
678-894-4081
person
Provider Business Mailing Address Details
Address
4487 Park Dr
City
Norcross
State
Georgia
Zip
30093-2964
Phone Number
770-469-6226
Fax Number
678-894-4081
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
060-R-0018 (Georgia)
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
060-R-0018 (Georgia)
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 disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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