| The Freedom Recovery Center Llc | |
|
19 Hawthorn St Dayton OH 45402-8341 | |
| (937) 380-2418 | |
| Not Available |
| Full Name | The Freedom Recovery Center Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 19 Hawthorn St, Dayton, Ohio |
| Authorized Official Name and Position | Terry L Hill (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9373802418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Freedom Recovery Center Llc 19 Hawthorn St Dayton OH 45402-8341 Ph: () - | The Freedom Recovery Center Llc 19 Hawthorn St Dayton OH 45402-8341 Ph: (937) 380-2418 |
| NPI Number | 1053930016 |
|---|---|
| Provider Enumeration Date | 04/10/2020 |
| Last Update Date | 04/10/2020 |
| Certification Date | 04/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053930016 | NPI | - | NPPES |
| 0155181 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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