Provider Demographics
NPI:1871641159
Name:CLEARVIEW RECOVERY, INC.
Entity Type:Organization
Organization Name:CLEARVIEW RECOVERY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARV
Authorized Official - Middle Name:
Authorized Official - Last Name:FANGMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMSW, ACADC
Authorized Official - Phone:515-994-3562
Mailing Address - Street 1:501 N SHERMAN ST
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50228-8666
Mailing Address - Country:US
Mailing Address - Phone:515-994-3562
Mailing Address - Fax:515-994-3564
Practice Address - Street 1:501 N SHERMAN ST
Practice Address - Street 2:
Practice Address - City:PRAIRIE CITY
Practice Address - State:IA
Practice Address - Zip Code:50228-8666
Practice Address - Country:US
Practice Address - Phone:515-994-3562
Practice Address - Fax:515-994-3564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA1234324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility