Organization
CREATIVE LIVING COMMUNITY SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEAN LAMURIEL WHITE (EXECUTIVE DIRECTOR)
(757) 487-6505
Entity
Organization
Contact information
Practice address
853 PARAPET RD, CHESAPEAKE, VA 23323-2419
(757) 487-6505
Mailing address
853 PARAPET RD, CHESAPEAKE, VA 23323-2419
(757) 487-6505
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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