CLEAN PATH RECOVERY LLC NPI 1043629173

NPI Information

  • NPI: 1043629173
  • Provider Name: CLEAN PATH RECOVERY, LLC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Doing Business As: CLEAN PATH BEHAVIORAL HEALTH
  • Address: 1650 ADAMS AVE
    COSTA MESA, CA
    ZIP 92626
  • Phone: (949) 734-7432

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NPI Details

CLEAN PATH RECOVERY, LLC is a community behavioral health in Costa Mesa, CA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. CLEAN PATH RECOVERY, LLC NPI is 1043629173. The provider is registered as an organization entity type.
The provider Is Doing Business As Clean Path Behavioral Health.

The provider's business location address is:

1650 ADAMS AVE
COSTA MESA, CA
ZIP 92626-958
Phone: (949) 734-7432

The provider's authorized official is Lee Heiligman .
The authorized official title is Ceo and has the following contact phone number (949) 734-7432.

The enumeration date for this NPI number is 8/2/2014 and was last updated on 3/15/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityNo
2251S00000XCommunity/Behavioral HealthYes

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: 3/30/2025

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