NPI | 1205397395 |
---|---|
Doing Business As | CREATIVE ARTS CLINIC |
Entity Type | Organization |
Authorized Contact | REUBEN MOORE CEO 651-602-7537 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-03-29 |
Last Update Date | 2025-07-08 |