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Organization

CREATIVE COMMUNITY DEVELOPMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVA MONE ROYAL (EXECUTIVE DIRECTOR)
(562) 986-8572
Entity
Organization

Contact information

Practice address
8130 FLORENCE AVE # 250, DOWNEY, CA 90240-3969
(562) 986-8572
(562) 381-8368
Mailing address
8130 FLORENCE AVE # 250, DOWNEY, CA 90240-3969
(562) 986-8572
(562) 381-8368

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TC0700X
Clinical Psychologist
103TF0000X
Family Psychologist
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
251B00000X
Case Management Agency
251C00000X
Developmentally Disabled Services Day Training Agency
251S00000X
Community/Behavioral Health Agency
Primary
251T00000X
PACE Provider Organization
332BD1200X
Dialysis Equipment & Supplies (DME)
343900000X
Non-emergency Medical Transport (VAN)
385H00000X
Respite Care
385HR2055X
Child Mental Illness Respite Care

Other

Enumeration date
01/06/2026
Last updated
02/19/2026
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