| Create Inc | |
|
2200 E Franklin Ave Ste 200a Minneapolis MN 55404-2395 | |
| (612) 874-9811 | |
| (612) 874-9820 |
| Full Name | Create Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2200 E Franklin Ave Ste 200a, Minneapolis, Minnesota |
| Authorized Official Name and Position | Scott Edward Holtzleicer (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6128749811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Create Inc 2200 E Franklin Ave Ste 200a Minneapolis MN 55404-2395 Ph: (612) 874-9811 | Create Inc 2200 E Franklin Ave Ste 200a Minneapolis MN 55404-2395 Ph: (612) 874-9811 |
| NPI Number | 1336212653 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 01/31/2022 |
| Certification Date | 11/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336212653 | NPI | - | NPPES |
| 27010 | Other | MN | MEDICAL ASSISTANCE |
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