NPI | 1336212653 |
---|---|
Doing Business As | CREATE INC |
Entity Type | Organization |
Authorized Contact | SCOTT EDWARD HOLTZLEICER Executive Director 612-874-9811 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 800287) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 800579) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 802470) | |
Enumeration Date | 2006-11-16 |
Last Update Date | 2022-01-31 |