Organization
CLEAN START RECOVERY INC
Active
Other names
CLEAN START RECOVERY INC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFARRAH EMMA WILLIAMS (EXECUTIVE SECRETARY)
(562) 488-7046
Entity
Organization
Contact information
Practice address
4701 LOS PATOS AVE, HUNTINGTON BEACH, CA 92649-4320
(714) 477-0113
Mailing address
8862 GARDEN GROVE BLVD STE 204, GARDEN GROVE, CA 92844-1293
(714) 477-0113
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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