CLEAR BROOK INC. NPI 1134235757

NPI Information

  • NPI: 1134235757
  • Provider Name: CLEAR BROOK, INC.
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Doing Business As: CLEAR BROOK MANOR/CLEAR BROOK LODGE
  • CLIA Number: 39D2101585
  • Address: 1100 E NORTHAMPTON ST
    LAUREL RUN, PA
    ZIP 18706
  • Phone: (570) 823-1171

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NPI Details

CLEAR BROOK, INC. is a substance abuse rehabilitation facility in Laurel Run, PA. 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 BROOK, INC. NPI is 1134235757. The provider is registered as an organization entity type.
The provider Is Doing Business As Clear Brook Manor/clear Brook Lodge.

The provider's business location address is:

1100 E NORTHAMPTON ST
LAUREL RUN, PA
ZIP 18706-520
Phone: (570) 823-1171
Fax: (570) 823-1582

The provider's authorized official is Brendan Mcgovern .
The authorized official title is Controller and has the following contact phone number (570) 822-0800.

The CLIA number assigned to this NPI record is 39D2101585 - other - non hosp sub acute with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 4/23/2013.

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 Facility401889/402119PENNSYLVANIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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