Creative Support Services, LLC
NPI #1245049949 in Middle River, Maryland
Provider Information
- NPI Number
- 1245049949
- Entity Type
- Organization
- Organization Name
- Creative Support Services, LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jan 6, 2025
- Last Updated
- Jan 6, 2025
Practice Location
- Address
- 9893 DECATUR RD
- City
- Middle River
- State
- Maryland
- ZIP Code
- 21220-3776
- Phone
- (443) 326-5120
Authorized Official
- Name
- MRS. BERGEDA MONIQUE MINNIS
- Title
- EXECUTIVE DIRECTOR
- Phone
- (443) 326-5120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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