Creative Growth
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jonesboro, GA. Organization (NPI-2).
Details
- NPI
- 1609045608
- Entity type
- Organization (NPI-2)
- Legal business name
- Creative Growth
- Organization subpart
- No
- Enumeration date
- Feb 22, 2008
- Last updated
- Feb 22, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
9695 Washington CirJonesboro, GA 30238-6094
Phone 678-361-8053 · Fax 678-479-0293
Mailing address
9695 Washington CirJonesboro, GA 30238-6094
Phone 678-361-8053 · Fax 678-479-0293
Authorized official
Gloria L Bordain
Director
6783618053
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 6 Intellectual and/or Developmental Disabilities Residential Treatment Facility providers in Jonesboro · All 1,354 providers in Jonesboro
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