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CDC CENTERS INC NPI 1285074922


NPI Information

NPI: 1285074922
Provider Name: CDC CENTERS, INC

Doing Business As: GLEN CREEK LODGE

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
5708 GLEN AVE
MINNETONKA, MN
ZIP 55345
Phone: (952) 894-7722
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CDC CENTERS, INC is a substance abuse rehabilitation facility in Minnetonka, MN. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. CDC CENTERS, INC NPI is 1285074922. The provider is registered as an organization entity type.
The provider Is Doing Business As Glen Creek Lodge.

The provider's business location address is:

5708 GLEN AVE
MINNETONKA, MN
ZIP 55345-611
Phone: (952) 894-7722
Fax: (952) 894-0882

The provider's authorized official is Ruth Carol Ackley .
The authorized official title is Ceo and has the following contact phone number (952) 894-7722.

The enumeration date for this NPI number is 6/26/2013 and was last updated on 8/26/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility1066127MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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