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Organization
CREATIVE WELLNESS INSTITUTE
Active
Organization
CREATIVE WELLNESS INSTITUTE
Active
Other names
Creative Wellness Institute
Organization subpart
No
Provider details
NPI number
Authorized official
CECCILY BEDNASH (PRESIDENT)
(602) 299-4679
Entity
Organization
Contact information
Practice address
1713 E WALNUT ST, PASADENA, CA 91106-1611
(602) 299-4679
Mailing address
4001 DON TOMASO DR APT 1, LOS ANGELES, CA 90008-5319
(602) 299-4679
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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