Organization
CLEAR DETOX CENTER INC.
Active
Other names
Clear Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH NERSTEN (CEO)
(949) 200-7555
Entity
Organization
Contact information
Practice address
552 HAMILTON ST, UNIT E1, COSTA MESA, CA 92627-5570
(949) 200-7555
Mailing address
546 HAMILTON ST, COSTA MESA, CA 92627-2617
(949) 200-7555
(949) 548-0804
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300372AP
CA
Other
Enumeration date
04/23/2017
Last updated
04/23/2017
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