Healthcare Provider Details

I. General information

NPI: 1497316715
Provider Name (Legal Business Name): CENTER FOR CREATIVE VALUES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2019
Last Update Date: 03/22/2026
Certification Date: 03/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 YORK ROAD SUITE 250, UNIT 6
BALTIMORE MD
21204
US

IV. Provider business mailing address

515 E JOPPA RD STE 100
BALTIMORE MD
21286-1804
US

V. Phone/Fax

Practice location:
  • Phone: 410-337-0938
  • Fax:
Mailing address:
  • Phone: 410-337-0938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: KAY ATOLOYE
Title or Position: PROGRAM DIRECTOR / CEO
Credential:
Phone: 443-929-8315