| Clear Path Iop Center Inc | |
|
209 E Alameda Ave Ste 100 Burbank CA 91502-2674 | |
| (626) 607-5964 | |
| Not Available |
| Full Name | Clear Path Iop Center Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 209 E Alameda Ave Ste 100, Burbank, California |
| Authorized Official Name and Position | Kotelyan Ani (AGENT/OWNER) |
| Authorized Official Contact | 7474774309 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Path Iop Center Inc 209 E Alameda Ave Ste 100 Burbank CA 91502-2674 Ph: (747) 477-4309 | Clear Path Iop Center Inc 209 E Alameda Ave Ste 100 Burbank CA 91502-2674 Ph: (626) 607-5964 |
| NPI Number | 1538923016 |
|---|---|
| Provider Enumeration Date | 02/06/2024 |
| Last Update Date | 06/06/2024 |
| Certification Date | 06/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538923016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
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