Organization
CREER SMALL FAMILY HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEDRA CREER (CEO/ADMINISTRATOR)
(323) 395-8594
Entity
Organization
Contact information
Practice address
17676 VIEW MOUNT CT, VICTORVILLE, CA 92395-8204
(323) 395-8594
Mailing address
17676 VIEW MOUNT CT, VICTORVILLE, CA 92395-8204
(323) 395-8594
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
04/04/2025
Last updated
04/11/2025
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