Organization
COMMUNITY RESOURCES FOR EDUCATION ALTERNATIVE TREATMENTS & EVALUATION
Active
Other names
CREATE Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT EDWARD HOLTZLEICER LADC (EXECUTIVE DIRECTOR)
(612) 874-9811
Entity
Organization
Contact information
Practice address
2200 E FRANKLIN AVE STE 200A, MINNEAPOLIS, MN 55404-2395
(612) 874-9811
(612) 874-9820
Mailing address
2200 E FRANKLIN AVE STE 200A, MINNEAPOLIS, MN 55404-2395
(612) 874-9811
(612) 874-9820
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
800287
MN
101YA0400X
Addiction (Substance Use Disorder) Counselor
800579
MN
101YA0400X
Addiction (Substance Use Disorder) Counselor
802470
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27010
MEDICAL ASSISTANCE
MN
Enumeration date
11/16/2006
Last updated
01/31/2022
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