CLEAR DETOX CENTER INC. NPI 1356876767

NPI Information

CLEAR DETOX CENTER INC. is a substance abuse rehabilitation facility in Costa Mesa, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. CLEAR DETOX CENTER INC. NPI is 1356876767. The provider is registered as an organization entity type.
The provider Other Name Is Clear Treatment.

The provider's business location address is:

552 HAMILTON ST
UNIT E1
COSTA MESA, CA
ZIP 92627-570
Phone: (949) 200-7555

The provider's authorized official is Kenneth Nersten .
The authorized official title is Ceo and has the following contact phone number (949) 200-7555.

The CLIA number assigned to this NPI record is 05D2159731 - other - detox with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/23/2017 and was last updated on 4/23/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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