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institution
Creative Living Support Services Llc
Adolescent and Children Mental Health Clinic/Center in East Orange, New Jersey
NPI 1982309738

Creative Living Support Services Llc is an Adolescent and Children Mental Health Clinic/Center based in East Orange, NJ and is specialized in Adolescent and Children Mental Health. Creative Living Support Services Llc practices in East Orange, NJ. The NPI Number for Creative Living Support Services Llc is 1982309738 and holds a License No. (New Jersey).

The current practice location address for Creative Living Support Services Llc is 134 Evergreen Pl Ste 600, East Orange, NJ and can be reached out via phone at 862-252-6752.

Location: 134 Evergreen Pl Ste 600, East Orange, NJ, 07018-2011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982309738
Provider Name
Creative Living Support Services Llc
Credential
Provider Entity Type
Organization
Address
134 Evergreen Pl Ste 600, East Orange, NJ, 07018-2011
Phone Number
862-252-6752
Fax Number
Provider Enumeration Date
04/03/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
134 Evergreen Pl Ste 600
City
East Orange
State
New Jersey
Zip
07018-2011
Phone Number
862-252-6752
Fax Number
person
Provider Business Mailing Address Details
Address
134 Evergreen Pl Ste 600
City
East Orange
State
New Jersey
Zip
07018-2011
Phone Number
862-252-6752
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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