| The Creative Therapy Center, Llc | |
|
657 Main St Nw Ste 214 Elk River MN 55330-1584 | |
| (763) 274-0510 | |
| Not Available |
| Full Name | The Creative Therapy Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 657 Main St Nw Ste 214, Elk River, Minnesota |
| Authorized Official Name and Position | Nicole Renee Ross (CLINIC DIRECTOR) |
| Authorized Official Contact | 7632740510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Creative Therapy Center, Llc 657 Main St Nw Ste 214 Elk River MN 55330-1584 Ph: (763) 274-0510 | The Creative Therapy Center, Llc 657 Main St Nw Ste 214 Elk River MN 55330-1584 Ph: (763) 274-0510 |
| NPI Number | 1609196898 |
|---|---|
| Provider Enumeration Date | 06/10/2010 |
| Last Update Date | 06/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609196898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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