Organization Name: | CREATIVE CARE RESORCES |
NPI Number: | 1598801938 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHEILA BRENNAN WILLIAMS (CFO) |
Mailing Address: | 14985 Glazier Ave Suite 105 Apple Valley |
State: | MN US |
Postal Code: | 551247484 |
Phone Number: | 9524327710 |
Fax Number: | 9524325360 |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 1009412-4-WS |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |