Organization
RECOVERY STREET CENTRAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY HILL (EXECUTIVE ASSISTANT)
(937) 380-2418
Entity
Organization
Contact information
Practice address
4130 LINDEN AVE STE 185, DAYTON, OH 45432-3040
(937) 380-2410
Mailing address
4130 LINDEN AVE STE 185, DAYTON, OH 45432-3040
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
07/30/2020
Last updated
03/28/2021
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