Provider Demographics
NPI:1972175065
Name:CLEAR INC
Entity Type:Organization
Organization Name:CLEAR INC
Other - Org Name:CLEAR RECOVERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-880-9929
Mailing Address - Street 1:18119 PRAIRIE AVE
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-3739
Mailing Address - Country:US
Mailing Address - Phone:877-799-1985
Mailing Address - Fax:866-899-1638
Practice Address - Street 1:515 N SEPULVEDA BLVD STE B
Practice Address - Street 2:
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-6748
Practice Address - Country:US
Practice Address - Phone:877-799-1985
Practice Address - Fax:866-899-1638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-16
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA190863EPOtherDHCS