| Clean Path Behavioral Health | |
|
1650 Adams Ave Costa Mesa CA 92626-4958 | |
| (949) 734-7432 | |
| Not Available |
| Full Name | Clean Path Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1650 Adams Ave, Costa Mesa, California |
| Authorized Official Name and Position | Lee Heiligman (CEO) |
| Authorized Official Contact | 9497347432 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clean Path Behavioral Health Po Box 3211 Newport Beach CA 92659-0855 Ph: (949) 734-7432 | Clean Path Behavioral Health 1650 Adams Ave Costa Mesa CA 92626-4958 Ph: (949) 734-7432 |
| NPI Number | 1043629173 |
|---|---|
| Provider Enumeration Date | 08/02/2014 |
| Last Update Date | 03/15/2023 |
| Certification Date | 03/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043629173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Secondary |
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