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Organization
CLEAR MIND INC
Active
Organization
CLEAR MIND INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELVIN DELENO FELIX (EXECUTIVE DIRECTOR)
(323) 839-7818
Entity
Organization
Contact information
Practice address
1940 54TH ST, SAN DIEGO, CA 92105-5406
(323) 839-7818
(323) 566-6025
Mailing address
P.O. BOX 15821, LOS ANGELES, CA 90015
(323) 839-7818
(323) 566-6025
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/10/2012
Last updated
10/25/2012
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