NPI 1265625834

Creative Community Living Services, INC.

Organisation Developmentally Disabled Services Day Training Agency Watertown, WI

Practice location

Address: 314 E Main St, Watertown, WI 53094-3749
Phone: (920) 261-1345
Mailing address: 314 E Main St P.O. Box 260, Watertown, WI 53094-3749

Authorised official

Name: Luanne M. Barnet
Title: President
Phone: (920) 261-1345

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in Wisconsin →

Registry record

NPI: 1265625834
Entity type: Organization
NPI issued: 27 Aug 2007
Record last updated: 27 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.