| NPI | 1992284285 |
|---|---|
| Doing Business As | THE WAVE OF CLEARWATER |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER WRIGHT FOX President 310-547-7501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2019-06-13 |