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CLARE MATRIX NPI 1962839746


NPI Information

NPI: 1962839746
Provider Name: CLARE MATRIX

Other Name: TLC

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 05D2227945

Address:
1869-1871 9TH ST
SANTA MONICA, CA
ZIP 90404
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 1962839746. The provider is registered as an organization entity type.
The provider Other Name Is Tlc.

The provider's business location address is:

1869-1871 9TH ST
SANTA MONICA, CA
ZIP 90404-501
Phone: (310) 314-6200
Fax: (310) 450-2024

The provider's authorized official is Lisa D. Steele .
The authorized official title is Chief Executive Director and has the following contact phone number (310) 314-6200.

The CLIA number assigned to this NPI record is 05D2227945 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2013 and was last updated on 7/9/2019.


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 FacilityYes

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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