Clean and Clear Evaluation and Treatment Services, Inc.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

CLEAN AND CLEAR EVALUATION AND TREATMENT SERVICES, INC.

Practice address

109 Mill Street
Elizabethtown, NC 28337-9999

Phone

(910) 862-3286

Fax

(910) 862-7038

NPI assigned

Apr 10, 2009

Last updated

Oct 8, 2009By 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

April Parker

Title

Biller

Phone

(910) 322-9817

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1972746683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MILL STREET",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283379999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 MILL STREET",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283379999",
            "telephone_number": "910-862-3286",
            "fax_number": "910-862-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAN AND CLEAR EVALUATION AND TREATMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-10",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "910-322-9817"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; 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.