| NPI | 1164206298 |
|---|---|
| Doing Business As | CLEAR RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | MARTHA BREWER KOO Medical Director 310-318-2566 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |