Organization
CREATIVE WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA CLEVELAND (PROGRAM DIRECTOR)
(313) 768-9696
Entity
Organization
Contact information
Practice address
21751 COOLIDGE HWY, OAK PARK, MI 48237-3108
(248) 916-9355
Mailing address
615 GRISWOLD ST STE 509, DETROIT, MI 48226-3975
(313) 784-3480
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
10/06/2025
Last updated
04/16/2026
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