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Organization
CLEAN PROGRAMMING LLC
Active
Organization
CLEAN PROGRAMMING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO SMITH (CEO)
(614) 642-4700
Entity
Organization
Contact information
Practice address
319 W MARKET ST, LIMA, OH 45801-4713
(614) 642-4700
Mailing address
319 W MARKET ST, LIMA, OH 45801-4713
(614) 642-4700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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