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Organization

FREEDOM RECOVERY LLC

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
1 ELIZABETH PL STE 111, DAYTON, OH 45417-3445
(937) 520-4800
Mailing address
4998 W BROAD ST STE 104, COLUMBUS, OH 43228-1647
(937) 520-4800

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
02/12/2024
Last updated
02/12/2024
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