Healthcare Provider Details

I. General information

NPI: 1134058084
Provider Name (Legal Business Name): CLARITY COVE RECOVERY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24328 VERMONT AVE STE 214
HARBOR CITY CA
90710-2315
US

IV. Provider business mailing address

24328 VERMONT AVE STE 214
HARBOR CITY CA
90710-2315
US

V. Phone/Fax

Practice location:
  • Phone: 323-212-0134
  • Fax:
Mailing address:
  • Phone: 323-212-0134
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CANDIDA DUNBAR
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 323-212-0134