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CLARE MATRIX NPI 1043537913


NPI Information

NPI: 1043537913
Provider Name: CLARE MATRIX

Other Name: MEN'S RESIDENTIAL TREATMENT PROGRAM

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
905-909 PICO BLVD.
SANTA MONICA, CA
ZIP 90405
Phone: (310) 314-6200
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CLARE MATRIX is a substance abuse rehabilitation facility in Santa Monica, 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. CLARE MATRIX NPI is 1043537913. The provider is registered as an organization entity type.
The provider Other Name Is Men's Residential Treatment Program.

The provider's business location address is:

905-909 PICO BLVD.
SANTA MONICA, CA
ZIP 90405-326
Phone: (310) 314-6200
Fax: (310) 450-2024

The provider's authorized official is Dan George .
The authorized official title is Interim Chief Executive Officer and has the following contact phone number (310) 314-6200.

The enumeration date for this NPI number is 4/30/2010 and was last updated on 2/1/2022.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility190016BNCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1190016BNOTHERCALIFORNIASTATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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