Organization
CREATIVE DREAM EARLY INTERVENTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISRA AHMED (MANAGER)
(763) 291-9931
Entity
Organization
Contact information
Practice address
1250 MOORE LAKE DR E STE 205, FRIDLEY, MN 55432-5176
(763) 291-9931
Mailing address
1250 MOORE LAKE DR E STE 205, FRIDLEY, MN 55432-5176
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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