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GLEN CREEK LODGE
NPI 1285074922
Substance Abuse Rehabilitation Facility in Minnetonka, MN

Active since June 26, 2013
5708 GLEN AVE, MINNETONKA, MN 55345(952) 894-7722(952) 894-0882 Get Directions Write a Review

NPPES record last updated: August 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glen Creek Lodge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLEN CREEK LODGE (NPI 1285074922) is a healthcare organization registered as a substance abuse rehabilitation facility in Minnetonka, Minnesota and active in the NPI registry since June 2013. The organization lists Ruth Carol Ackley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1285074922
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameCDC CENTERS, INC
Location Address5708 GLEN AVEMinnetonka, MN 55345-6611
Mailing Address14750 Lac Lavon DrBurnsville, MN 55306-6398 · (952) 894-7722 · Fax (952) 894-0882
Phone(952) 894-7722
Fax(952) 894-0882
Organization SubpartNo
Authorized OfficialRuth Carol AckleyCeo · (952) 894-7722
Enumeration DateJune 26, 2013
Last NPPES UpdateAugust 26, 2013
✔ NPI 1285074922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in MN · 1066127
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
5708 GLEN AVE, Minnetonka, MN 55345
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Other Names 1

Doing Business AsGlen Creek Lodge

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cdc Centers, Inc's NPI number?

The NPI number for Cdc Centers, Inc is 1285074922. It was assigned to this organization in the NPPES registry on June 26, 2013. The provider is doing business as Glen Creek Lodge.

Where is Cdc Centers, Inc located?

Cdc Centers, Inc is located at 5708 Glen Ave, Minnetonka, MN 55345. The listed phone number is (952) 894-7722.

What is Cdc Centers, Inc's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Cdc Centers, Inc was last updated on August 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.