OrganizationActive
Creative Support Services, LLC
NPI 1245049949 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Middle River, MD
Provider details
- NPI number
- 1245049949
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Bergeda Minnis, Executive Director
Mailing address
9893 Decatur Rd
Middle River, MD 21220-3776
Registry dates
- Enumerated
- 2025-01-06
- Last updated
- 2025-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.