| Born Free 2 Llc | |
|
3 Stuckhardt Rd Trotwood OH 45426-2756 | |
| (937) 853-6365 | |
| Not Available |
| Full Name | Born Free 2 Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3 Stuckhardt Rd, Trotwood, Ohio |
| Authorized Official Name and Position | Christol Everett (CEO) |
| Authorized Official Contact | 9378536365 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Born Free 2 Llc 3 Stuckhardt Rd Trotwood OH 45426-2756 Ph: (937) 853-6365 | Born Free 2 Llc 3 Stuckhardt Rd Trotwood OH 45426-2756 Ph: (937) 853-6365 |
| NPI Number | 1316690084 |
|---|---|
| Provider Enumeration Date | 02/01/2022 |
| Last Update Date | 02/01/2022 |
| Certification Date | 02/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316690084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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