Organization
THE FREEDOM RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONRAD M GOODE V CDCA, CMS, QMHS (EXECUTIVE DIRECTOR)
(937) 540-5716
Entity
Organization
Contact information
Practice address
109 WHITE ALLEN AVE, DAYTON, OH 45405-4932
(937) 540-5716
Mailing address
153 N DIXIE DR APT 14, VANDALIA, OH 45377-2033
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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