CLARE MATRIX NPI 1104398742

NPI Information

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 1104398742. The provider is registered as an organization entity type.

The provider's business location address is:

2644 30TH ST STE 100
SANTA MONICA, CA
ZIP 90405-051
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 CLIA number assigned to this NPI record is 05D2128583 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/20/2018 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:

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