| Create Inc | |
|
1145 Shenandoah Ln N Plymouth MN 55447-3201 | |
| (612) 596-0100 | |
| (612) 321-3807 |
| Full Name | Create Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1145 Shenandoah Ln N, Plymouth, Minnesota |
| Authorized Official Name and Position | Lynn Aller (DIRECTOR) |
| Authorized Official Contact | 6128749811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Create Inc 1911 Pleasant Ave Minneapolis MN 55403-3506 Ph: (612) 874-9811 | Create Inc 1145 Shenandoah Ln N Plymouth MN 55447-3201 Ph: (612) 596-0100 |
| NPI Number | 1730581646 |
|---|---|
| Provider Enumeration Date | 09/23/2014 |
| Last Update Date | 09/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730581646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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