Organization
BORN FREE 2 LLC
Active
Other names
Born Free 2
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOL EVERETT CDCA (CEO)
(937) 853-6365
Entity
Organization
Contact information
Practice address
3 STUCKHARDT RD, TROTWOOD, OH 45426-2756
(937) 853-6365
Mailing address
3 STUCKHARDT RD, TROTWOOD, OH 45426-2756
(937) 853-6365
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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