Provider Demographics
NPI:1619558566
Name:KKB HEALTH SOLUTIONS
Entity Type:Organization
Organization Name:KKB HEALTH SOLUTIONS
Other - Org Name:CLEAR LIFE RECOVERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-860-6551
Mailing Address - Street 1:4029 WESTERLY PL STE 109A
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2329
Mailing Address - Country:US
Mailing Address - Phone:561-860-6551
Mailing Address - Fax:
Practice Address - Street 1:15964 MCCORD CIR
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-1034
Practice Address - Country:US
Practice Address - Phone:561-860-6551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-20
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility