Organization
M2 CREATIVE
Active
Other names
Melrose Community Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG SMITH MD (MEDICAL DIRECTOR)
(888) 870-2201
Entity
Organization
Contact information
Practice address
6715 MELROSE AVE, LOS ANGELES, CA 90038-3411
(888) 870-2201
Mailing address
22287 MULHOLLAND HWY, CALABASAS, CA 91302-5157
(818) 635-9380
(818) 337-0365
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
G61164
CA
103TP0016X
Prescribing (Medical) Psychologist
61164
CA
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
G61164
CA
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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