| Clean Slate Sober Living | |
|
714 E Main St Trotwood OH 45426-2909 | |
| (844) 548-7627 | |
| Not Available |
| Full Name | Clean Slate Sober Living |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 714 E Main St, Trotwood, Ohio |
| Authorized Official Name and Position | Leiland Woods (COO) |
| Authorized Official Contact | 4047822988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clean Slate Sober Living 714 E Main St Trotwood OH 45426-2909 Ph: (844) 548-7627 | Clean Slate Sober Living 714 E Main St Trotwood OH 45426-2909 Ph: (844) 548-7627 |
| NPI Number | 1578101952 |
|---|---|
| Provider Enumeration Date | 12/16/2019 |
| Last Update Date | 01/29/2020 |
| Certification Date | 01/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578101952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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