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Organization

CREATIVE CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIFFANY KESSLER (EXECUTIVE ASSISTANT)
(818) 334-5400
Entity
Organization

Contact information

Practice address
730 CRATER CAMP DR, CALABASAS, CA 91302-2120
(818) 466-9255
(818) 466-9548
Mailing address
5941 TRANCAS CANYON RD, MALIBU, CA 90265-3118
(818) 334-5400
(818) 334-5435

Taxonomy

Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1477792794
NPI
Enumeration date
05/21/2019
Last updated
05/23/2019
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