Creative Support Services, LLC
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Middle River, MD
NPI 1245049949 · NPPES record last updated Jan 6, 2025
Key facts
- NPI
- 1245049949
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- CREATIVE SUPPORT SERVICES, LLC
- Practice address
- 9893 Decatur Rd
Middle River, MD 21220-3776 - Phone
- (443) 326-5120
- NPI assigned
- Jan 6, 2025
- Organization subpart
- No
Authorized official
- Name
- Mrs. Bergeda Monique Minnis
- Title
- Executive Director
- Phone
- (443) 326-5120
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
9893 Decatur Rd
Middle River, MD 21220-3776
Mailing address
9893 Decatur Rd
Middle River, MD 21220-3776
Phone (443) 326-5120
Other providers in Middle River, MD
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- Comprehensive Rehab Consultants PLLC
- Kathleen F Crawford
- Creating Balanced Lives LLC
- Ashayna Daniel
- Kimberly Lorin Davis
- DDB Support Services, LLC
- Taila Dane De Souza
- Dialog Healthcare LLC
All providers in Middle River, MD · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.