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
26 E HIGH ST, LONDON, OH 43140-1209
(740) 956-1302
Mailing address
4998 W BROAD ST STE 104, COLUMBUS, OH 43228-1647
(614) 754-8051
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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