Organization
CLEARPATH ADHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN CLACK (CEO)
(214) 435-6716
Entity
Organization
Contact information
Practice address
1460 E 31ST ST, OAKLAND, CA 94602-1019
(214) 435-6716
Mailing address
1460 E 31ST ST, OAKLAND, CA 94602-1019
(214) 435-6716
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
103TC0700X
Clinical Psychologist
—
—
2084P0800X
Psychiatry Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
07/20/2024
Last updated
07/20/2024
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