# M2 CREATIVE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Melrose Community Health Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770985004
- **Authorized official:** CRAIG SMITH MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (888) 870-2201

## Contact information

- **Practice address:** 6715 MELROSE AVE, LOS ANGELES, CA 90038-3411
- **Practice address phone:** (888) 870-2201
- **Mailing address:** 22287 MULHOLLAND HWY, CALABASAS, CA 91302-5157
- **Mailing address phone:** (818) 635-9380
- **Mailing address fax:** (818) 337-0365

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | G61164 | CA | Yes |
| 103TP0016X | Prescribing (Medical) Psychologist | 61164 | CA | — |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | — |
| 324500000X | Substance Abuse Rehabilitation Facility | G61164 | CA | — |

## Other

- **Enumeration date:** 09/18/2014
- **Last updated:** 09/18/2014