Provider Demographics
NPI:1467727305
Name:CLEAR FOCUS BEHAVIORAL ENHANCEMENT
Entity Type:Organization
Organization Name:CLEAR FOCUS BEHAVIORAL ENHANCEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GERMAIN
Authorized Official - Middle Name:H
Authorized Official - Last Name:WILLIAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-752-6927
Mailing Address - Street 1:366 CAVOS WAY
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-3554
Mailing Address - Country:US
Mailing Address - Phone:702-752-6927
Mailing Address - Fax:
Practice Address - Street 1:366 CAVOS WAY
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-3554
Practice Address - Country:US
Practice Address - Phone:702-752-6927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-10
Last Update Date:2012-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health