Organization
CLEAN SLATE SOBER LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEILAND WOODS (COO)
(404) 782-2988
Entity
Organization
Contact information
Practice address
714 E MAIN ST, TROTWOOD, OH 45426-2909
(844) 548-7627
Mailing address
714 E MAIN ST, TROTWOOD, OH 45426-2909
(844) 548-7627
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
01/29/2020
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