Men'S Residential Treatment Program

LBN: Clare Matrix
Men'S Residential Treatment Program is an health care organization with primary practice located at 907-909 Pico Blvd. , Santa Monica CA 90405-1326. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Clare Matrix can be contacted via phone (310) 314-6200, or through Walton, Matt via phone (310) 314-6200.

Contact Information

Primary practice address
907-909 Pico Blvd. Santa Monica CA 90405-1326
Fax: (310) 450-2024
Website:
Authorized official contact:
Name: Walton, Matt

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 190016BN California

Profile Details

NPI number 1043537913
LBN Legal business name Clare Matrix
DBA Doing business as Men'S Residential Treatment Program
Authorized official Walton, Matt
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2010
Last updated Mar 5th, 2024 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043537913 NPPES
California Other 190016BN STATE LICENSE

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