Provider Demographics
NPI:1861738965
Name:CLEARER VISION INC
Entity type:Organization
Organization Name:CLEARER VISION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:NED
Authorized Official - Middle Name:FORREST
Authorized Official - Last Name:HARGRESS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:248-738-4986
Mailing Address - Street 1:PO BOX 74484
Mailing Address - Street 2:
Mailing Address - City:ROMULUS
Mailing Address - State:MI
Mailing Address - Zip Code:48174-0484
Mailing Address - Country:US
Mailing Address - Phone:248-738-4986
Mailing Address - Fax:248-738-5682
Practice Address - Street 1:40055 CAMBRIDGE
Practice Address - Street 2:STE #104
Practice Address - City:ROMULUS
Practice Address - State:MI
Practice Address - Zip Code:48174-3846
Practice Address - Country:US
Practice Address - Phone:248-738-4986
Practice Address - Fax:248-738-5682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-17
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness