Healthcare Provider Details
I. General information
NPI: 1033917117
Provider Name (Legal Business Name): CLEAR PATH CARE SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/05/2025
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2108 N ST STE N
SACRAMENTO CA
95816-5712
US
IV. Provider business mailing address
1308 DORCAS ST
SAN DIEGO CA
92110-1503
US
V. Phone/Fax
- Phone: 888-737-0657
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHAEL
KABER
Title or Position: OWNER
Credential:
Phone: 619-361-4756