CLEAR LAKE ADDICTION AND TRAUMA CENTER LLC
NPI 1295414001
Clinic/Center - Mental Health (Including Community Mental Health Center) in Lawrenceville, NJ
Active since July 18, 2023
About Clear Lake Addiction And Trauma Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLEAR LAKE ADDICTION AND TRAUMA CENTER LLC (NPI 1295414001) is a healthcare organization registered as a mental health (including community mental health center) in Lawrenceville, New Jersey and active in the NPI registry since July 2023. The organization lists Ricardo Alvarez, Ceo, as its authorized official.
NPPES Registry Identity
NPI1295414001
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCLEAR LAKE ADDICTION AND TRAUMA CENTER LLC
Location Address504 REGENCY PLLawrenceville, NJ 08648-2576
Mailing Address504 Regency PlLawrenceville, NJ 08648-2576 · (609) 498-9003
Phone(609) 498-9003
Organization SubpartNo
Authorized OfficialRicardo AlvarezCeo · (609) 498-9003
Enumeration DateJuly 18, 2023
NPPES CertifiedJuly 18, 2023
✔ NPI 1295414001 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
504 REGENCY PL, Lawrenceville, NJ 08648
Other Names 1
Other NameClear Lake Addiction And Trauma Center Llc
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295414001, enumerated as an "organization" on July 18, 2023.
The provider is located at 504 REGENCY PL LAWRENCEVILLE, NJ 08648 and the phone number is (609) 498-9003.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
