Clean Slate Sober Living | |
714 E Main St Trotwood OH 45426-2909 | |
(844) 548-7627 | |
Not Available |
Full Name | Clean Slate Sober Living |
---|---|
Speciality | Community/behavioral Health |
Location | 714 E Main St, Trotwood, Ohio |
Authorized Official Name and Position | Leiland Woods (COO) |
Authorized Official Contact | 4047822988 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Clean Slate Sober Living 714 E Main St Trotwood OH 45426-2909 Ph: (844) 548-7627 | Clean Slate Sober Living 714 E Main St Trotwood OH 45426-2909 Ph: (844) 548-7627 |
NPI Number | 1578101952 |
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Provider Enumeration Date | 12/16/2019 |
Last Update Date | 01/29/2020 |
Certification Date | 01/29/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578101952 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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