Organization
CLARE MATRIX
Active
Other names
Outpatient Program
Organization subpart
No
Provider details
NPI number
Authorized official
MATT WALTON (INTERIM EXECUTIVE OFFICER)
(310) 314-6200
Entity
Organization
Contact information
Practice address
1334 LINCOLN BLVD, SANTA MONICA, CA 90401-1730
(310) 314-6200
(310) 450-2024
Mailing address
909 PICO BLVD, SANTA MONICA, CA 90405-1326
(310) 314-6200
(310) 450-2024
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2013
Last updated
03/05/2024
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