Organization
CREATIVE CARE RESORCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA BRENNAN WILLIAMS (CFO)
(952) 432-7710
Entity
Organization
Contact information
Practice address
14985 GLAZIER AVE, SUITE 105, APPLE VALLEY, MN 55124-7484
(952) 432-7710
(952) 432-5360
Mailing address
14985 GLAZIER AVE, SUITE 105, APPLE VALLEY, MN 55124-7484
(952) 432-7710
(952) 432-5360
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1009412-4-WS
MN
Other
Enumeration date
01/30/2007
Last updated
08/22/2020
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