Organization
CREATIVE RESIDENTIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUYINKA FADAHUNSI DR. (OWNER)
(804) 497-9326
Entity
Organization
Contact information
Practice address
59 LEOMINSTER ST, WESTMINSTER, MA 01473-1517
(804) 497-9326
Mailing address
59 LEOMINSTER ST, WESTMINSTER, MA 01473-1517
(804) 497-9326
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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