Clean Treatment Center, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CLEAN TREATMENT CENTER, INC.

Practice address

123 Hodencamp Rd Ste 205
Thousand Oaks, CA 91360-5834

Phone

(213) 700-6050

NPI assigned

Mar 21, 2021

Last updated

Jun 3, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Irene Bridgett Hyder

Title

Founder

Phone

(213) 700-6050

Specialties & licenses 2

Addresses

Electronic endpoints 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Irene Mostovaya

  • Counselor
  • Canoga Park, CA
  • NPI 1386811495
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1174109128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 HODENCAMP RD STE 205",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605834",
            "telephone_number": "818-436-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HODENCAMP RD STE 205",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605834",
            "telephone_number": "213-700-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAN TREATMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-21",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "HYDER",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "BRIDGETT",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "213-700-6050"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hello@cleantreatmentcenter.org",
            "affiliation": "N",
            "endpointDescription": "Client Notes, treatment plans",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "31240 La Baya Dr",
            "city": "Westlake Village",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913624076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hello@cleantreatmentcenter.org",
            "affiliation": "N",
            "endpointDescription": "Client Notes, treatment plans",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "123 Hodencamp Rd Ste 205",
            "city": "Thousand Oaks",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913605834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alice Bryce Clark, MS, RD
• Laura Ayala Clark, LMFT
• Leo Clark, BA
• Wenessa Anne Clark
• Vanessa Clavel
• Arline Louise Clyburn, M.N.,C.S.,R.N.
• Coastal Bloom Behavior LLC
• Coastal Bloom Behavior LLC
• Coastal Physical Therapy and Sports Rehabilitation
• Coastal Radiation Oncology Medical Group, Inc. (North Oaks Radiation Oncology Medical Center, Inc.)

• Substance Use Disorder Rehabilitation Clinic/Center in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.