Organization
CDC CENTERS, INC
Active
Organization
CDC CENTERS, INC
Active
Other names
Glen Creek Lodge
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH CAROL ACKLEY LADC (CEO)
(952) 894-7722
Entity
Organization
Contact information
Practice address
5708 GLEN AVE, MINNETONKA, MN 55345-6611
(952) 894-7722
(952) 894-0882
Mailing address
14750 LAC LAVON DR, BURNSVILLE, MN 55306-6398
(952) 894-7722
(952) 894-0882
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1066127
MN
Other
Enumeration date
06/26/2013
Last updated
08/26/2013
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