| NPI | 1295870699 |
|---|---|
| Doing Business As | CREATIVE CARE FOR REACHING INDEPENDENCE |
| Entity Type | Organization |
| Authorized Contact | SHANNON BOCK Executive Director 218-236-6730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MN 800502) |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2014-08-13 |