Provider Demographics
NPI:1245540525
Name:CLEARVIEW FAMILY SERVICES LLC
Entity type:Organization
Organization Name:CLEARVIEW FAMILY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KIMYADA
Authorized Official - Middle Name:
Authorized Official - Last Name:MIDDLETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-242-2608
Mailing Address - Street 1:PO BOX 211
Mailing Address - Street 2:
Mailing Address - City:PEACHLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28133-0211
Mailing Address - Country:US
Mailing Address - Phone:704-242-2608
Mailing Address - Fax:704-943-0861
Practice Address - Street 1:25 W PASSAIC ST
Practice Address - Street 2:
Practice Address - City:PEACHLAND
Practice Address - State:NC
Practice Address - Zip Code:28133-8739
Practice Address - Country:US
Practice Address - Phone:704-242-2608
Practice Address - Fax:704-943-0861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-20
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health