| 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 |