Organization · Type 2 NPI

Creative Alternative for Learning & Living, Inc.

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Atascadero, CA

NPI number 1194335430 Active

Practice location

11700 Viejo Camino
Atascadero, CA 93422-6023

Fax (805) 466-8614

Specialties and licenses

Taxonomy	Code	License
Developmentally Disabled Services Day Training Agency	251C00000X	None listed
Assisted Living Facility (Behavioral Disturbances)	3104A0630X	None listed
Physical Disabilities Residential Treatment Facility	320700000X	None listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	None listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

NPI record

NPI: 1194335430
Entity type: Organization (Type 2)
Issued: Aug 2, 2020
Last updated: Aug 2, 2020
Status: Active

Other names

C.a.l.l.-Carmelita House · other name
C.a.l.l.-D.t.a.c · other name
C.a.l.l.-Palomar House · other name
C.a.l.l.-Ramona House · other name
C.a.l.l.-San Antonio House · other name
C.a.l.l.-Valdez House · other name

Authorized official

Susan Dunn
Board of Directors President
(805) 423-4818

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194335430

Creative Alternative for Learning & Living, Inc.'s National Provider Identifier is 1194335430, issued on Aug 2, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Atascadero, CA. The record was last updated on Aug 2, 2020.