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Organization

FREEDOM RECOVERY

Active
Parent organization
FREEDOM RECOVERY
Organization subpart
Yes

Provider details

NPI number
Legal business name
FREEDOM RECOVERY
Authorized official
JESSIE COSTLEY (CREDENTIALING SPECIALIST)
(443) 839-6928
Entity
Organization

Contact information

Practice address
4998 W BROAD ST STE 104, COLUMBUS, OH 43228-1647
(614) 754-8051
Mailing address
4998 W BROAD ST STE 104, COLUMBUS, OH 43228-1647
(614) 754-8051

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
09/16/2024
Last updated
09/16/2024
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