Provider Demographics
NPI:1295556207
Name:CLEAR VISION TREATMENT CENTERS INC.
Entity type:Organization
Organization Name:CLEAR VISION TREATMENT CENTERS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:KAZANCHIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-201-5199
Mailing Address - Street 1:8007 BROADLEAF AVE
Mailing Address - Street 2:
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-5401
Mailing Address - Country:US
Mailing Address - Phone:818-201-5199
Mailing Address - Fax:
Practice Address - Street 1:321 W HOBSONWAY STE A
Practice Address - Street 2:
Practice Address - City:BLYTHE
Practice Address - State:CA
Practice Address - Zip Code:92225-1651
Practice Address - Country:US
Practice Address - Phone:818-201-5199
Practice Address - Fax:818-294-7134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder