Provider Demographics
NPI:1447569652
Name:CLEAN INVESTMENTS INC.
Entity Type:Organization
Organization Name:CLEAN INVESTMENTS INC.
Other - Org Name:CLEAN INVESTMENTS INC. COUNSELING CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MYRON
Authorized Official - Middle Name:
Authorized Official - Last Name:BURSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-477-6690
Mailing Address - Street 1:1212 E ANDERSON LN STE 300
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752-1761
Mailing Address - Country:US
Mailing Address - Phone:512-477-6690
Mailing Address - Fax:512-477-5668
Practice Address - Street 1:1212 E ANDERSON LN STE 300
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-1761
Practice Address - Country:US
Practice Address - Phone:512-477-6690
Practice Address - Fax:512-477-5668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-05
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health