| Brake The Cycle Llc | |
|
1704 Prospect St Springfield OH 45503-4529 | |
| (937) 561-4101 | |
| Not Available |
| Full Name | Brake The Cycle Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1704 Prospect St, Springfield, Ohio |
| Authorized Official Name and Position | James Cooper (CEO) |
| Authorized Official Contact | 9375614101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brake The Cycle Llc 1704 Prospect St Springfield OH 45503-4529 Ph: (937) 561-4101 | Brake The Cycle Llc 1704 Prospect St Springfield OH 45503-4529 Ph: (937) 561-4101 |
| NPI Number | 1124895032 |
|---|---|
| Provider Enumeration Date | 12/11/2023 |
| Last Update Date | 12/11/2023 |
| Certification Date | 12/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124895032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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