NPI | 1295414001 |
---|---|
Other Name | CLEAR LAKE ADDICTION AND TRAUMA CENTER LLC |
Entity Type | Organization |
Authorized Contact | RICARDO ALVAREZ CEO 609-498-9003 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-07-18 |
Last Update Date | 2023-07-18 |