Organization
KKB HEALTH SOLUTIONS
Active
Other names
Clear Life Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE MURPHY (CFO)
(561) 860-6551
Entity
Organization
Contact information
Practice address
2822 MONTEREY AVE, COSTA MESA, CA 92626-5535
(561) 860-6551
Mailing address
4029 WESTERLY PL STE 109A, NEWPORT BEACH, CA 92660-2329
(561) 860-6551
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/17/2018
Last updated
08/21/2023
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