| Born Free 2 Llc | |
|
5 Stuckhardt Rd Trotwood OH 45426-2756 | |
| (937) 979-3485 | |
| Not Available |
| Full Name | Born Free 2 Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5 Stuckhardt Rd, Trotwood, Ohio |
| Authorized Official Name and Position | Christol Eveonne Everett (OWNER) |
| Authorized Official Contact | 9379793485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Born Free 2 Llc 5 Stuckhardt Rd Trotwood OH 45426-2756 Ph: (937) 979-3485 | Born Free 2 Llc 5 Stuckhardt Rd Trotwood OH 45426-2756 Ph: (937) 979-3485 |
| NPI Number | 1255069043 |
|---|---|
| Provider Enumeration Date | 08/10/2022 |
| Last Update Date | 08/10/2022 |
| Certification Date | 08/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255069043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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