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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