Collaborative Arts Wellness Center LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

COLLABORATIVE ARTS WELLNESS CENTER LLC

Practice address

8714 Santa Monica Blvd Unit 200
West Hollywood, CA 90069-4508

Phone

(323) 445-1560

NPI assigned

Jun 5, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cory Savage

Title

Ceo

Phone

(323) 445-1560

Specialties & licenses 3

Addresses

Other names 1

• Creative Recovery LA Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1689415390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 N ALFRED ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900694775",
            "telephone_number": "323-445-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8714 SANTA MONICA BLVD UNIT 200",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694508",
            "telephone_number": "323-445-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE ARTS WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "SAVAGE",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-445-1560"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Recovery LA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dylan Cole
• Bernice Louise Coleman, PH.D, ACNP-BC
• Ryan J Coleman, MD
• Shawn David Coleman, M.D.
• Manuel Colin, L.AC.
• Adam Thomas Colson, LCSW
• Community Champion Consulting
• Complete Pain Relief, Inc.
• Conor McCartney MD Inc
• Christian Consilvio, MD

• Substance Use Disorder Rehabilitation Clinic/Center in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.