Provider Demographics
NPI:1639836257
Name:CLEAR SHORES, INC
Entity Type:Organization
Organization Name:CLEAR SHORES, INC
Other - Org Name:COMPASSION BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NEEDLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-505-2200
Mailing Address - Street 1:1 OAKWOOD BLVD STE 265
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-1954
Mailing Address - Country:US
Mailing Address - Phone:954-505-2200
Mailing Address - Fax:
Practice Address - Street 1:1701 MAYO ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-6542
Practice Address - Country:US
Practice Address - Phone:954-505-2200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-18
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility