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COMMUNITY RESOURCES FOR EDUCATION ALTERNATIVE TREATMENTS & EVALUATION NPI 1336212653


NPI Information

NPI: 1336212653
Provider Name: COMMUNITY RESOURCES FOR EDUCATION ALTERNATIVE TREATMENTS & EVALUATION

Doing Business As: CREATE INC

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
2200 E FRANKLIN AVE STE 200A
MINNEAPOLIS, MN
ZIP 55404
Phone: (612) 874-9811
Get Directions

COMMUNITY RESOURCES FOR EDUCATION ALTERNATIVE TREATMENTS & EVALUATION is an addiction (substance use disorder) counselor in Minneapolis, MN. COMMUNITY RESOURCES FOR EDUCATION ALTERNATIVE TREATMENTS & EVALUATION NPI is 1336212653. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Create Inc.

The provider's business location address is:

2200 E FRANKLIN AVE STE 200A
MINNEAPOLIS, MN
ZIP 55404-395
Phone: (612) 874-9811
Fax: (612) 874-9820

The provider's authorized official is Scott Edward Holtzleicer .
The authorized official title is Executive Director and has the following contact phone number (612) 874-9811.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 1/31/2022.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)800579MINNESOTANo
2101YA0400XCounselorAddiction (Substance Use Disorder)802470MINNESOTANo
3101YA0400XCounselorAddiction (Substance Use Disorder)800287MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
127010OTHERMINNESOTAMEDICAL ASSISTANCE

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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