OrganizationActive
Creative Living Support Services LLC
NPI 1982309738 · Developmental Disabilities Clinic/Center · East Orange, NJ
Provider details
- NPI number
- 1982309738
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Royleta Foster, President
Practice location
134 Evergreen Pl Ste 600
East Orange, NJ 07018-2011
Phone: (862) 252-6752
Mailing address
134 Evergreen Pl Ste 600
East Orange, NJ 07018-2011
Registry dates
- Enumerated
- 2023-04-03
- Last updated
- 2024-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.