Provider Demographics
NPI:1568767705
Name:CLEAR PATH COUNSELING
Entity Type:Organization
Organization Name:CLEAR PATH COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:C
Authorized Official - Last Name:ALAMAH
Authorized Official - Suffix:
Authorized Official - Credentials:RAS
Authorized Official - Phone:310-635-8822
Mailing Address - Street 1:1315 N BULLIS RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:COMPTON
Mailing Address - State:CA
Mailing Address - Zip Code:90221-1650
Mailing Address - Country:US
Mailing Address - Phone:310-635-8822
Mailing Address - Fax:310-635-8828
Practice Address - Street 1:3130 S HILL ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90007-3817
Practice Address - Country:US
Practice Address - Phone:310-213-3318
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW RESOURCE INSTITUTE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-01-19
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health