| Clean Path Recovery | |
|
13121 Wilson St Garden Grove CA 92844-1177 | |
| (949) 278-1915 | |
| Not Available |
| Full Name | Clean Path Recovery |
|---|---|
| Speciality | Lodging |
| Location | 13121 Wilson St, Garden Grove, California |
| Authorized Official Name and Position | Lee Heiligman (CEO) |
| Authorized Official Contact | 9492781915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clean Path Recovery Po Box 3211 Newport Beach CA 92659-0855 Ph: (949) 278-1915 | Clean Path Recovery 13121 Wilson St Garden Grove CA 92844-1177 Ph: (949) 278-1915 |
| NPI Number | 1952155749 |
|---|---|
| Provider Enumeration Date | 04/16/2024 |
| Last Update Date | 02/06/2026 |
| Certification Date | 02/06/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952155749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 177F00000X | Lodging | (* (Not Available)) | Primary |
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