Provider Demographics
NPI:1164954285
Name:CLARITY TREATMENT SERVICES, LLC
Entity Type:Organization
Organization Name:CLARITY TREATMENT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ELIEZER
Authorized Official - Middle Name:VIEIRA
Authorized Official - Last Name:DE FRANCA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LCADC
Authorized Official - Phone:732-442-3535
Mailing Address - Street 1:262 STATE ST
Mailing Address - Street 2:
Mailing Address - City:PERTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08861-4348
Mailing Address - Country:US
Mailing Address - Phone:732-442-3535
Mailing Address - Fax:732-442-3082
Practice Address - Street 1:262 STATE ST
Practice Address - Street 2:
Practice Address - City:PERTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08861-4348
Practice Address - Country:US
Practice Address - Phone:732-442-3535
Practice Address - Fax:732-442-3082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-29
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ200524261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0428272C3IMedicaid
NJ370937Medicare UPIN