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NPI Code Detail

MEDICARE: CLARITY COVE RECOVERY INC

MEDICARE: CLARITY COVE RECOVERY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1134058084
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLARITY COVE RECOVERY INC
Provider Business Mailing Address
First Line : 24328 VERMONT AVE STE 214
Second Line :
City : HARBOR CITY
State : CA
Zip : 90710-2315
Country : US
Telephone Number : 323-212-0134
Fax Number :
Provider Business Practice Location Address
First Line : 24328 VERMONT AVE STE 214
Second Line :
City : HARBOR CITY
State : CA
Zip : 90710-2315
Country : US
Telephone Number : 323-212-0134
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF OPERATIONS
Name : CANDIDA DUNBAR
Credential :
Telephone Number : 323-212-0134
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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