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 |