NPI 1336961143
Creative Dream Early Intervention LLC
Practice location
- Address
- 1250 Moore Lake Dr E STE 205, Fridley, MN 55432-5176
- Phone
- (763) 291-9931
Authorised official
- Name
- Isra Ahmed
- Title
- Manager
- Phone
- (763) 291-9931
Registered specialties
Early Intervention Provider Agency
Primary
Registry record
- NPI
- 1336961143
- Entity type
- Organization
- NPI issued
- 31 Oct 2024
- Record last updated
- 31 Oct 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.