| Creative Community Service, Inc. | |
|
4487 Park Dr Suite A Norcross GA 30093-2964 | |
| (770) 469-6226 | |
| (678) 894-4081 |
| Full Name | Creative Community Service, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4487 Park Dr, Norcross, Georgia |
| Authorized Official Name and Position | Cathy Pallon (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 7704696226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Community Service, Inc. 4487 Park Dr Suite A Norcross GA 30093-2964 Ph: (770) 469-6226 | Creative Community Service, Inc. 4487 Park Dr Suite A Norcross GA 30093-2964 Ph: (770) 469-6226 |
| NPI Number | 1891820130 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 05/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891820130 | NPI | - | NPPES |
| 000565375AA | Medicaid | GA | |
| 000565375AC | Medicaid | GA | |
| 000565375F | Medicaid | GA | |
| 000565375G | Medicaid | GA | |
| 000565375J | Medicaid | GA | |
| 000565375Y | Medicaid | GA | |
| 000565375AD | Medicaid | GA | |
| 000565375AF | Medicaid | GA | |
| 000565375AL | Medicaid | GA | |
| 000565375AN | Medicaid | GA | |
| 000565375N | Medicaid | GA | |
| 000565375P | Medicaid | GA | |
| 000565375U | Medicaid | GA | |
| 000565375AB | Medicaid | GA | |
| 000565375AK | Medicaid | GA | |
| 000565375M | Medicaid | GA | |
| 000565375V | Medicaid | GA | |
| 000565375W | Medicaid | GA | |
| 000565375Z | Medicaid | GA | |
| 000565375L | Medicaid | GA | |
| 000565375Q | Medicaid | GA | |
| 000565375AM | Medicaid | GA | |
| 000565375I | Medicaid | GA | |
| 300025237-C | Medicaid | GA | |
| 000565375AE | Medicaid | GA | |
| 000565375AI | Medicaid | GA | |
| 000565375AJ | Medicaid | GA | |
| 000565375R | Medicaid | GA | |
| 000565375S | Medicaid | GA | |
| 000565375X | Medicaid | GA | |
| 000565375K | Medicaid | GA | |
| 000565375O | Medicaid | GA | |
| 000565375T | Medicaid | GA | |
| 000565375AG | Medicaid | GA | |
| 000565375AH | Medicaid | GA | |
| 000565375B | Medicaid | GA | |
| 000565375H | Medicaid | GA |
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