OrganizationActive
Creative Growth
NPI 1609045608 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Jonesboro, GA
Provider details
- NPI number
- 1609045608
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Gloria Bordain, Director(678) 361-8053
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9695 Washington Cir
Jonesboro, GA 30238-6094
Phone: (678) 361-8053
Fax: (678) 479-0293
Street-level locationGet directions
Mailing address
9695 Washington Cir
Jonesboro, GA 30238-6094
Registry dates
- Enumerated
- 2008-02-22
- Last updated
- 2008-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.