Active NPI
Clean Path Recovery
- Community/Behavioral Health Agency
- Garden Grove, CA
National Provider Identifier
1184553505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CLEAN PATH RECOVERY
- Practice address
- 12555 Garden Grove Blvd Ste 303&305
Garden Grove, CA 92843-1902 - Phone
- (949) 278-1915
- NPI assigned
- May 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lee Heiligman
- Title
- Ceo
- Phone
- (949) 278-1915
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
12555 Garden Grove Blvd Ste 303&305
Garden Grove, CA 92843-1902
Mailing address
2345 Notre Dame Rd
Costa Mesa, CA 92626-6441
Phone (949) 278-1915
National Provider Directory
National Provider DirectoryLocations
12555 Garden Grove Blvd
Ste 303305
Garden Grove, CA 92843
Phone (949) 278-1915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779667200000",
"number": "1184553505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2345 NOTRE DAME RD",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926266441",
"telephone_number": "949-278-1915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12555 GARDEN GROVE BLVD STE 303&305",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928431902",
"telephone_number": "949-278-1915"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEAN PATH RECOVERY",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-14",
"last_updated": "2026-05-25",
"certification_date": "2026-05-25",
"status": "A",
"authorized_official_last_name": "HEILIGMAN",
"authorized_official_first_name": "LEE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "949-278-1915"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.