Healthcare Provider Details
I. General information
NPI: 1154065290
Provider Name (Legal Business Name): CLEARVIEW CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/25/2022
Last Update Date: 05/29/2024
Certification Date: 05/29/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 S LOS ROBLES AVE STE 250
PASADENA CA
91101-2479
US
IV. Provider business mailing address
200 S LOS ROBLES AVE STE 250
PASADENA CA
91101-2479
US
V. Phone/Fax
- Phone: 626-899-0172
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SCOTT
SARNACKE
Title or Position: CFO
Credential:
Phone: 615-864-8154