Provider Demographics
NPI:1396255816
Name:CLEAR VIEW HEALTH CENTER, INC
Entity type:Organization
Organization Name:CLEAR VIEW HEALTH CENTER, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARVELL
Authorized Official - Middle Name:LENOX
Authorized Official - Last Name:TELL
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:800-508-8639
Mailing Address - Street 1:1836 KENNETH WAY
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91103-1254
Mailing Address - Country:US
Mailing Address - Phone:800-508-8639
Mailing Address - Fax:800-975-3864
Practice Address - Street 1:1836 KENNETH WAY
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91103-1254
Practice Address - Country:US
Practice Address - Phone:800-508-8639
Practice Address - Fax:800-975-3864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-11
Last Update Date:2017-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder