Organization
CREATIVE ENTERPRISES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWIGHT MIDDLETON (CONTROLLER)
(770) 962-3908
Entity
Organization
Contact information
Practice address
701 HI HOPE LN, LAWRENCEVILLE, GA 30043-4581
(770) 962-3908
Mailing address
701 HI HOPE LN, LAWRENCEVILLE, GA 30043-4581
(770) 962-3908
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/13/2006
Last updated
08/22/2020
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