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Organization

CREATE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYNN ALLER (DIRECTOR)
(612) 874-9811
Entity
Organization

Contact information

Practice address
1145 SHENANDOAH LN N, PLYMOUTH, MN 55447-3201
(612) 596-0100
(612) 321-3807
Mailing address
1911 PLEASANT AVE, MINNEAPOLIS, MN 55403-3506
(612) 874-9811
(612) 874-9820

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
09/23/2014
Last updated
09/23/2014
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