Organization
CREATIVE COMMUNITY CHOICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HOOKER ABD (PRESIDENT/CEO)
(301) 254-9553
Entity
Organization
Contact information
Practice address
6704 WILBURN DRIVE, CAPITOL HEIGHTS, MD 20743
(301) 254-9553
Mailing address
6704 WILBURN DRIVE, CAPITOL HEIGHTS, MD 20743
(301) 254-9553
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
01113193
MD
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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