CREATIVE CUSTOM LIVING INC. NPI 1528243219

NPI Information

NPI: 1528243219
Provider Name: CREATIVE CUSTOM LIVING, INC.
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
6010 DAVIS MILL RD
GREENSBORO, NC
ZIP 27406
Phone: (336) 674-7751
Get Directions

CREATIVE CUSTOM LIVING, INC. is an adult mental health clinic center in Greensboro, NC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. CREATIVE CUSTOM LIVING, INC. NPI is 1528243219. The provider is registered as an organization entity type.

The provider's business location address is:

6010 DAVIS MILL RD
GREENSBORO, NC
ZIP 27406-129
Phone: (336) 674-7751
Fax: (336) 674-6336

The provider's authorized official is Jerry A. Allred .
The authorized official title is Director and has the following contact phone number (336) 674-7751.

The enumeration date for this NPI number is 1/1/2008 and was last updated on 1/2/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	MHL-041-845	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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