Clear Water Recovery

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

CLEAR WATER RECOVERY

Practice address

631 N Fulton Ave
Baltimore, MD 21217-1403

Phone

(410) 260-9338

NPI assigned

Jun 27, 2022

Last updated

Apr 5, 2024By 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

Alexander Black

Title

Owner

Phone

(410) 260-9338

Specialties & licenses 5

Addresses

Tax ID family

Clear Water Recovery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Clear Water Recovery

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
  • NPI 1285505735
  NPD tax ID

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1528790821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7916 MANSION HOUSE XING",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211226313",
            "telephone_number": "410-260-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 N FULTON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212171403",
            "telephone_number": "410-260-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR WATER RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-27",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-260-9338"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Cleanthous
• Clear Mind Health
• Clear Mind Health LLC
• Clear Minds Consulting and Counseling L.L.C
• Clear Water Recovery
• Clearscreen LLC
• Clearview Wellness, LLC
• Clearway Anesthesia Services NE LLC
• Clearway Anesthesia Services NE LLC
• Joseph Cleary III, PSY.D.

• Substance Abuse Rehabilitation Facility in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Substance Abuse Rehabilitation Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.